ILLINOIS ANESTHESIA COVERAGE P.C.

CHAMPAIGN, IL
NPI1750410726
Entity TypeOrganization
Authorized ContactJEROME WILLIAM WELLINGHOFF
President
217-352-8947
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209 001163)
Enumeration Date2007-03-05
Last Update Date2009-03-31
Business Address
ILLINOIS ANESTHESIA COVERAGE P.C.
4010 RIVERKNOLL DR
CHAMPAIGN, IL 61822-9213
Phone number: 217-352-8947
Mailing Address
ILLINOIS ANESTHESIA COVERAGE P.C.
PO BOX 7048
CHAMPAIGN, IL 61826-7048
Phone number: 217-352-8947
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