Provider Demographics
NPI:1831198357
Name:FIGUEROA AND ASSOCIATES ANESTHESIA GROUP, LTD.
Entity type:Organization
Organization Name:FIGUEROA AND ASSOCIATES ANESTHESIA GROUP, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST/ GROUP LEADER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-462-4989
Mailing Address - Street 1:5000 HUNTERS POINTE
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002-6979
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 SAINT ANTHONYS WAY
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-4568
Practice Address - Country:US
Practice Address - Phone:618-462-4989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILR25522Medicare UPIN
ILQ15409Medicare UPIN
ILB42084Medicare UPIN
ILR21787Medicare UPIN
IL932360Medicare ID - Type UnspecifiedGROUP'S MEDICARE ID
ILC47530Medicare UPIN
ILR17969Medicare UPIN