# ILLINOIS ANESTHESIA ASSOCIATES PC

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

## Provider details

- **NPI number:** 1962459669
- **Authorized official:** JOHN MITCHELL MD (PRESIDENT)
- **Authorized official phone:** (800) 444-6110

## Contact information

- **Practice address:** 350 N WALL ST, KANKAKEE, IL 60901-2901
- **Practice address phone:** (815) 933-1671
- **Mailing address:** PO BOX 550374, TAMPA, FL 33655-0374
- **Mailing address phone:** (847) 615-2200

## 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:** 05/28/2006
- **Last updated:** 10/29/2007