Organization
ANESTHESIA CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ROODHOUSE M.D. (PRESIDENT)
(217) 243-4835
Entity
Organization
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 245-9541
Mailing address
1338 MOUND AVE, JACKSONVILLE, IL 62650-2252
(217) 243-4835
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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