Airway Anesthesia PC

NPI #1992064166 in Normal, Illinois

Provider Information

NPI Number: 1992064166
Entity Type: Organization
Organization Name: Airway Anesthesia PC
Primary Specialty: Anesthesiology
Enumeration Date: May 9, 2012
Last Updated: Apr 30, 2015

Practice Location

Address: 1105 STERLING GLEN CC CT
City: Normal
State: Illinois
ZIP Code: 61761-5297
Phone: (309) 454-4617

Authorized Official

Name: DARYL D CHENOWETH, CRNA
Title: DIRECTOR
Phone: (309) 454-4617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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