Prairie State Anesthesia Associates, Pllc
NPI #1487266391 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1487266391
- Entity Type
- Organization
- Organization Name
- Prairie State Anesthesia Associates, Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Aug 21, 2020
- Last Updated
- Jul 23, 2025
Practice Location
- Address
- 5023 N ILLINOIS ST
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-3453
- Phone
- (618) 239-0678
Authorized Official
- Name
- MELANIE SMITH
- Title
- ENROLLMENT
- Phone
- (425) 803-3885
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
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