Organization
G & G ANESTHESIA LLC
Active
Organization
G & G ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY PRUETZEL (MANAGER)
(618) 205-8304
Entity
Organization
Contact information
Practice address
2023 VADALABENE DR STE 350, MARYVILLE, IL 62062-5637
(618) 205-8302
Mailing address
2023 VADALABENE DR STE 350, MARYVILLE, IL 62062-5637
(618) 205-8302
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007445
IL
Other
Enumeration date
08/17/2015
Last updated
02/27/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up