OrganizationActive
Airway Anesthesia PC
NPI 1992064166 · Anesthesiology Physician · Normal, IL
Provider details
- NPI number
- 1992064166
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daryl Chenoweth, Director(309) 454-4617
- License
- 209-001108 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1105 Sterling Glen Cc Ct
Normal, IL 61761-5297
Phone: (309) 454-4617
Fax: (877) 757-6325
Approximate (ZIP-level) locationGet directions
Mailing address
1105 Sterling Glen Cc Ct
Normal, IL 61761-5297
Registry dates
- Enumerated
- 2012-05-09
- Last updated
- 2015-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.