# AEF MANAGEMENT

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

## Provider details

- **NPI number:** 1801209127
- **Authorized official:** SHANE R FANCHER (OWNER)
- **Authorized official phone:** (847) 615-2200

## Contact information

- **Practice address:** 1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
- **Practice address phone:** (217) 245-9541
- **Practice address fax:** (217) 479-8781
- **Mailing address:** PO BOX 570, LAKE FOREST, IL 60045-0570
- **Mailing address phone:** (847) 615-2200
- **Mailing address fax:** (888) 735-8731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 036094339 | IL | Yes |

## Other

- **Enumeration date:** 06/04/2014
- **Last updated:** 08/22/2014