# TIPPECANOE ANESTHESIA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ILLINOIS INDIANA EM - I MEDICAL SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033488283
- **Legal business name:** ILLINOIS INDIANA EM - I MEDICAL SERVICES
- **Authorized official:** DOUGLAS WEBSTER DO (PRESIDENT)
- **Authorized official phone:** (469) 401-2386

## Contact information

- **Practice address:** 350 N WALL ST, KANKAKEE, IL 60901-2901
- **Practice address phone:** (815) 935-7504
- **Mailing address:** 13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
- **Mailing address phone:** (469) 401-2386
- **Mailing address fax:** (214) 712-2444

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2011
- **Last updated:** 07/16/2014