Organization
TIPPECANOE ANESTHESIA SERVICES LLC
Active
Parent organization
ILLINOIS INDIANA EM - I MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ILLINOIS INDIANA EM - I MEDICAL SERVICES
Authorized official
DOUGLAS WEBSTER DO (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7504
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
07/16/2014
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