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

Lakeside Anesthesiology, SC

Organization Anesthesiology Physician · NPI 1306892377

Lakeside Anesthesiology, SC is an Anesthesiology Physician in Rockford, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

6090 Strathmoor Dr
Rockford, IL 61107-6628
Phone: (815) 633-8586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1306892377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Footerman — President · (815) 633-8586
NPI enumeratedMay 25, 2006
Last updated in NPPESJune 6, 2011
Mailing address6785 Weaver Rd, Rockford, IL 61114-8055

Other providers in Rockford