Organization
ANESTHESIA SPECIALTIES ALLIANCE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH HARVEY IFFT M.D. (VICE-PRESIDENT)
(309) 360-2600
Entity
Organization
Contact information
Practice address
7309 N. KNOXVILLE AVE., PEORIA, IL 61614
(309) 360-2600
(309) 683-1003
Mailing address
7309 N. KNOXVILLE AVE, PEORIA, IL 61614
(309) 360-2600
(309) 683-1003
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042617566
IL
Other
Enumeration date
03/10/2006
Last updated
12/04/2014
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