# SUBURBAN ANESTHESIOLOGISTS, SC

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

## Provider details

- **NPI number:** 1194767392
- **Authorized official:** DR. ROBERT HUSFIELD M.D (AUTHORISE REPRESENTATIVE)
- **Authorized official phone:** (708) 352-1200

## Contact information

- **Practice address:** 5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
- **Practice address phone:** (708) 352-1200
- **Mailing address:** 255 W MICHIGAN AVE, JACKSON, MI 49201-2218
- **Mailing address phone:** (517) 787-6440
- **Mailing address fax:** (517) 787-4146

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2006
- **Last updated:** 09/19/2007