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1992064166
AIRWAY ANESTHESIA PC
NORMAL, IL
NPI
1992064166
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Entity Type
Organization
Authorized Contact
DARYL D CHENOWETH
Director
309-454-4617
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 209-001108)
Enumeration Date
2012-05-09
Last Update Date
2015-04-30
Business Address
AIRWAY ANESTHESIA PC
1105 STERLING GLEN CC CT
NORMAL, IL 61761-5297
Phone number: 309-454-4617
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Mailing Address
AIRWAY ANESTHESIA PC
1105 STERLING GLEN CC CT
NORMAL, IL 61761-5297
Phone number: 309-454-4617
Copy
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