Organization
AMSOL ANESTHETISTS OF LITCHFIELD IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP W EICHENHOLZ MD (PRESIDENT)
(214) 687-0001
Entity
Organization
Contact information
Practice address
1215 FRANCISCAN DRIVE, LITCHFIELD, IL 62056-1778
(217) 324-2191
Mailing address
PO BOX 610201, DALLAS, TX 75261-0201
(800) 394-4445
(205) 322-1851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06832024
BLUE CROSS
IL
Enumeration date
05/03/2007
Last updated
10/23/2018
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