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Organization
ANESTHESIOLOGY CONSULTANTS LTD
Active
Organization
ANESTHESIOLOGY CONSULTANTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TAIMOORAZY MD (PRESIDENT)
(309) 454-1400
Entity
Organization
Contact information
Practice address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 454-1400
Mailing address
PO BOX 5997, PEORIA, IL 61601-5997
(847) 615-2200
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042616733
IL
367500000X
Certified Registered Nurse Anesthetist
042616733
IL
Other
Enumeration date
06/12/2006
Last updated
12/14/2010
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