Anesthesia Pain Services LLC

NPI #1790075489 in Streator, Illinois

Provider Information

NPI Number: 1790075489
Entity Type: Organization
Organization Name: Anesthesia Pain Services LLC
Primary Specialty: Anesthesiology
Enumeration Date: Apr 14, 2011
Last Updated: Apr 15, 2011

Practice Location

Address: 111 SPRING ST
City: Streator
State: Illinois
ZIP Code: 61364-3332
Phone: (815) 673-2311

Authorized Official

Name: DR. SHANE FANCHER, MD
Title: PRESIDENT
Phone: (217) 464-5839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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Calvin Slot, MD	Anesthesiology	Streator	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Anesthesia Associates of Streator Sc	Anesthesiology	Streator	AI Deep Dive

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