# PHYSICIANS SURGERY CENTER ANESTHESIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICIANS SURGERY CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699052621
- **Legal business name:** PHYSICIANS SURGERY CENTER LLC
- **Authorized official:** PHILLIP L SCHAEFER (BOARD MEMBER)
- **Authorized official phone:** (618) 549-5361

## Contact information

- **Practice address:** 2601 W MAIN ST, CARBONDALE, IL 62901-1031
- **Practice address phone:** (618) 549-5361
- **Mailing address:** 2601 W MAIN ST, CARBONDALE, IL 62901-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7003128 | IL | Yes |

## Other

- **Enumeration date:** 11/04/2011
- **Last updated:** 11/04/2011