# CENTRAL ILLINOIS ANESTHESIOLOGY ASSOCIATES, LTD

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

## Provider details

- **NPI number:** 1770887267
- **Authorized official:** PRAFUL VAKIL M.D. (PRESIDENT)
- **Authorized official phone:** (217) 419-3399

## Contact information

- **Practice address:** 3801 IRELAND GROVE RD, BLOOMINGTON, IL 61704-5297
- **Practice address phone:** (309) 664-0101
- **Practice address fax:** (309) 664-1010
- **Mailing address:** 1208 COZZENE DR, MAHOMET, IL 61853-3740

## Taxonomy

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

## Other

- **Enumeration date:** 12/27/2010
- **Last updated:** 12/27/2010