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

Resolute Anesthesia Illinois SC

Organization Anesthesiology Physician · NPI 1245661560

Resolute Anesthesia Illinois SC is an Anesthesiology Physician in Waterloo, Illinois. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

501 Hamacher St
Waterloo, IL 62298-1568
Phone: (908) 653-9399
Fax: (908) 653-9305
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1245661560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Vaughn — Officer · (954) 838-2371
NPI enumeratedDecember 12, 2013
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023
Mailing addressPo Box 744130, Atlanta, GA 30374-4130

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