# SOUTHERN ILLINOIS ANESTHESIOLOGY LTD

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

## Provider details

- **NPI number:** 1346353661
- **Authorized official:** FRANK M EATON MD (PRESIDENT)
- **Authorized official phone:** (618) 241-1108

## Contact information

- **Practice address:** 605 N 12TH STREET, MOUNT VERNON, IL 62864-2857
- **Practice address phone:** (618) 241-1108
- **Practice address fax:** (618) 241-3805
- **Mailing address:** 4227 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL 62864-2157
- **Mailing address phone:** (618) 242-2317
- **Mailing address fax:** (618) 242-9710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 42617784 | IL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 42617784 | IL | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | 42617784 | IL | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 09/11/2025