# ASSOCIATED ANESTHESIOLOGISTS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023612082
- **Authorized official:** WILLIAM HAUTER M.D. (ANESTHESIOLOGISTS)
- **Authorized official phone:** (309) 692-5393

## Contact information

- **Practice address:** 6742 N FROSTWOOD PKWY, PEORIA, IL 61615
- **Practice address phone:** (309) 692-5393
- **Mailing address:** 6742 N. FROSTWOD PKWY, PEORIA, IL 61615-2402
- **Mailing address phone:** (309) 692-5393
- **Mailing address fax:** (309) 683-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2020
- **Last updated:** 11/30/2020