Organization
ASSOCIATED ANESTHESIOLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HELEN BOWMAN (INFORMATION SERVICES)
(309) 692-5393
Entity
Organization
Contact information
Practice address
6742 N FROSTWOOD PKWY, PEORIA, IL 61615-2402
(309) 692-5393
(309) 668-9998
Mailing address
6742 N FROSTWOOD PKWY, PEORIA, IL 61615-2402
(309) 692-5393
(309) 683-9998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
06/17/2006
Last updated
12/05/2022
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