Illinois Anesthesia Associates PC

NPI #1962459669 in Kankakee, Illinois

Provider Information

NPI Number: 1962459669
Entity Type: Organization
Organization Name: Illinois Anesthesia Associates PC
Primary Specialty: Anesthesiology
Enumeration Date: May 28, 2006
Last Updated: Oct 29, 2007

Practice Location

Address: 350 N WALL ST
City: Kankakee
State: Illinois
ZIP Code: 60901-2901
Phone: (815) 933-1671

Authorized Official

Name: JOHN MITCHELL, MD
Title: PRESIDENT
Phone: (800) 444-6110

Specialties & Taxonomy Codes

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

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