1Body4Life

LBN: Lakeside Anesthesiology, S.C
1Body4Life is an health care organization with primary practice located at 761 Highgrove Pl , Rockford IL 61108-2520. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Lakeside Anesthesiology, S.C can be contacted via phone (815) 209-2525, or through Footerman, David S. via phone (815) 209-2525.

Contact Information

Primary practice address
761 Highgrove Pl Rockford IL 61108-2520
Phone: (815) 209-2525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Footerman, David S. Doctor of Medicine (MD)
Phone: (815) 209-2525

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1477897023
LBN Legal business name Lakeside Anesthesiology, S.C
DBA Doing business as 1Body4Life
Authorized official Footerman, David S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 20th, 2012
Last updated Nov 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers