Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambulatory Anesthesiology, Ltd

Organization Anesthesiology Physician · NPI 1053583716

Ambulatory Anesthesiology, Ltd is an Anesthesiology Physician in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3801 Ireland Grove Rd
Bloomington, IL 61704
Phone: (309) 664-0101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X (IL)

Record details

NPI number1053583716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Lanzerotte — President · (309) 585-0283
NPI enumeratedApril 2, 2008
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022
Mailing addressPo Box 489, Bloomington, IL 61702-0489

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