# MID-AMERICAN ANESTHESIA AND PAIN PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1114266749
- **Authorized official:** MRS. CHERYL L GONION RHIT (CREDENTIALING)
- **Authorized official phone:** (847) 615-2200

## Contact information

- **Practice address:** 4500 UTICA RIDGE RD, BETTENDORF, IA 52722-1626
- **Practice address phone:** (563) 742-5000
- **Practice address fax:** (847) 615-2858
- **Mailing address:** PO BOX 689, LAKE FOREST, IL 60045-0689
- **Mailing address phone:** (847) 615-2200
- **Mailing address fax:** (847) 615-2858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 34558 | IA | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | 34558 | IA | — |

## Other

- **Enumeration date:** 02/01/2013
- **Last updated:** 02/01/2013