Organization
SPECTRUM ANESTHESIA SERVICES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BELOPOLSKY MD (PRESIDENT)
(309) 672-5654
Entity
Organization
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0002
(309) 672-5654
(309) 680-2473
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0002
(309) 672-5654
(309) 680-2473
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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