# ANESTHESIA ASSOCIATES OF STREATOR SC

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

## Provider details

- **NPI number:** 1437162989
- **Authorized official:** CALVIN SLOT (PRESIDENT)
- **Authorized official phone:** (815) 673-2311

## Contact information

- **Practice address:** 111 SPRING ST, STREATOR, IL 61364-3332
- **Practice address phone:** (815) 673-2311
- **Mailing address:** PO BOX 570, LAKE FOREST, IL 60045-0570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 10/29/2007