Anesthesia Of Southern Illinois LLC
Nurse Anesthetist, Certified Registered in Belleville, IL. Organization (NPI-2).
NPI number1053662932
StatusActive
Last updated in NPPESOct 3, 2012
Details
- NPI
- 1053662932
- Entity type
- Organization (NPI-2)
- Legal business name
- Anesthesia Of Southern Illinois LLC
- Organization subpart
- Yes
- Enumeration date
- Oct 2, 2012
- Last updated
- Oct 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
2810 Frank Scott Pkwy W Ste 716Belleville, IL 62223-5007
Phone 618-355-0880 · Fax 618-355-0881
Mailing address
2810 Frank Scott Pkwy W Ste 716Belleville, IL 62223-5007
Phone 618-355-0880 · Fax 618-355-0881
Authorized official
Sudha Pai
Administrator
6186984021
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All 64 Certified Registered Nurse Anesthetist providers in Belleville · All 1,953 providers in Belleville
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