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Contact Information

CENTRAL ILLINOIS ASSOCIATES LTD
1800 E LAKE SHORE DR
DECATUR, IL62521-3810
 Phone: 217-464-5839
 Fax: 217-464-1671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CENTRAL ILLINOIS ASSOCIATES LTD

NPI Number 1558425462
LBN Legal business name CENTRAL ILLINOIS ASSOCIATES LTD
Authorized official SHANE FANCHER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 01/31/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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