# SANGAMON ASSOCIATED ANESTHESIOLOGISTS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013961515
- **Authorized official:** DR. FREDERICK GHERMANN MD (PRESIDENT)
- **Authorized official phone:** (217) 525-5643

## Contact information

- **Practice address:** 800 EAST CARPENTER STREET, ROOM 2K64, SPRINGFIELD, IL 62769-0001
- **Practice address phone:** (217) 525-5643
- **Practice address fax:** (217) 544-3311
- **Mailing address:** 800 EAST CARPENTER STREET, ROOM 2K64, SPRINGFIELD, IL 62769-0001
- **Mailing address phone:** (217) 525-5643
- **Mailing address fax:** (217) 544-3311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 207L00000X | IL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 12/18/2013