Midwest Mobile Anesthesia Consultants, Sc

NPI #1790143683 in Canton, Illinois

Provider Information

NPI Number: 1790143683
Entity Type: Organization
Organization Name: Midwest Mobile Anesthesia Consultants, Sc
Primary Specialty: Anesthesiology
Enumeration Date: Feb 5, 2016
Last Updated: Feb 5, 2016

Practice Location

Address: 210 W WALNUT ST
City: Canton
State: Illinois
ZIP Code: 61520-2444
Phone: (309) 692-6572

Authorized Official

Name: DR. ADRIENNE YVETTE WILLIAMS, M.D.
Title: PRESIDENT
Phone: (309) 453-1379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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