Organization · Type 2 NPI
Southern Illinois Anesthesiology Ltd
Pain Medicine (Anesthesiology) Physician · Mount Vernon, IL
Practice location
605 N 12th Street
Mount Vernon, IL 62864-2857
Fax (618) 241-3805
Mailing address
4227 Lincolnshire Drive
Mount Vernon, IL 62864-2157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | 42617784 (IL) |
| Pain Medicine (Anesthesiology) Physician Primary | 207LP2900X | 42617784 (IL) |
| Certified Registered Nurse Anesthetist | 367500000X | 42617784 (IL) |
Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
About NPI 1346353661
Southern Illinois Anesthesiology Ltd's National Provider Identifier is 1346353661, issued on Aug 17, 2006. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Mount Vernon, IL. The record was last updated on Sep 11, 2025.