Healthcare Provider Details

I. General information

NPI: 1831198357
Provider Name (Legal Business Name): FIGUEROA AND ASSOCIATES ANESTHESIA GROUP, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SAINT ANTHONYS WAY
ALTON IL
62002-4568
US

IV. Provider business mailing address

5000 HUNTERS POINTE
ALTON IL
62002-6979
US

V. Phone/Fax

Practice location:
  • Phone: 618-462-4989
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateIL

VIII. Authorized Official

Name: SAMUEL FIGUEROA
Title or Position: ANESTHESIOLOGIST/ GROUP LEADER
Credential:
Phone: 618-462-4989