Anesthesia Pain Services LLC

NPI #1821257783 in Decatur, Illinois

Provider Information

NPI Number: 1821257783
Entity Type: Organization
Organization Name: Anesthesia Pain Services LLC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 1800 E LAKE SHORE DR
City: Decatur
State: Illinois
ZIP Code: 62521-3810
Phone: (217) 464-5839

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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