Anesthesia of Southern Illinois LLC
NPI #1053662932 in Belleville, Illinois
Provider Information
- NPI Number
- 1053662932
- Entity Type
- Organization
- Organization Name
- Anesthesia of Southern Illinois LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VASANTHA PAI, MD PC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 2, 2012
- Last Updated
- Oct 3, 2012
Practice Location
- Address
- 2810 FRANK SCOTT PKWY W STE 716
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-5007
- Phone
- (618) 355-0880
Authorized Official
- Name
- DR. SUDHA PAI, MD
- Title
- ADMINISTRATOR
- Phone
- (618) 698-4021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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