Organization
MIDWEST ANESTHESIA CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE Y WILLIAMS MD (PHYSICIAN OWNER)
(309) 671-8749
Entity
Organization
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 347-1151
Mailing address
401 MAIN ST, SUITE 1200, PEORIA, IL 61602-1267
(309) 671-8749
(309) 671-8740
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036109114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216289
MEDICARE GROUP NUMBER
IL
Enumeration date
02/07/2008
Last updated
09/08/2009
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