# ANESTHESIA SERVICES, LLC

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

## Provider details

- **NPI number:** 1952560013
- **Authorized official:** DR. SHANE L FANCHER MD (PRESIDENT)
- **Authorized official phone:** (217) 464-5839

## Contact information

- **Practice address:** 1800 E LAKE SHORE DR, SUITE 2500, DECATUR, IL 62521-3810
- **Practice address phone:** (217) 464-5839
- **Practice address fax:** (217) 464-1693
- **Mailing address:** 1800 E LAKE SHORE DR, SUITE 2500, DECATUR, IL 62521-3810
- **Mailing address phone:** (217) 464-5839
- **Mailing address fax:** (217) 464-1693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 06/04/2008
- **Last updated:** 08/08/2008