# LIBERTY ANESTHESIA & PAIN, INC.

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

## Provider details

- **NPI number:** 1780008300
- **Authorized official:** MOHAMMAD I HUSSAIN MD (OWNER)
- **Authorized official phone:** (847) 409-0410

## Contact information

- **Practice address:** 1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
- **Practice address phone:** (309) 762-9711
- **Practice address fax:** (309) 762-9747
- **Mailing address:** 5530 RIVER PARK DR, LIBERTYVILLE, IL 60048-4204
- **Mailing address phone:** (847) 281-7235
- **Mailing address fax:** (847) 409-0410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036083169 | IL | Yes |

## Other

- **Enumeration date:** 02/18/2014
- **Last updated:** 02/18/2014