Illinois Anesthesia Associates PC

Organization Active NPI Anesthesiology Physician · Kankakee, IL

NPI 1962459669 · NPPES record last updated Oct 29, 2007

Key facts

NPI
1962459669
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
ILLINOIS ANESTHESIA ASSOCIATES PC
Practice address
350 N Wall St
Kankakee, IL 60901-2901
Phone
(815) 933-1671
NPI assigned
May 28, 2006
Organization subpart
No

Authorized official

Name
John Mitchell, MD NPI 1528285442
Title
President
Phone
(800) 444-6110

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

National Provider Directory

Locations

300 Riverside Dr
#1400
Bourbonnais, IL 60914
Phone (815) 802-3170

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207L00000X Yes
Certified Registered Nurse Anesthetist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
367500000X

Addresses

Primary practice location

350 N Wall St
Kankakee, IL 60901-2901

Mailing address

PO Box 550374
Tampa, FL 33655-0374
Phone (847) 615-2200

Other identifiers

IdentifierTypeStateIssuer
4632035OtherILBCBS

Other providers in Kankakee, IL

All providers in Kankakee, IL · Anesthesiology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.