Organization
IROQUOIS ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASHYAP BHATT MD (PRESIDENT)
(815) 432-5747
Entity
Organization
Contact information
Practice address
514 S 5TH ST, WATSEKA, IL 60970-1637
(815) 432-5747
Mailing address
514 S 5TH ST, WATSEKA, IL 60970-1637
(815) 432-5747
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036067666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067666
—
IL
Enumeration date
08/18/2008
Last updated
08/18/2008
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