Organization
ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KLOPFENSTEIN (FINANCIAL OPERATIONS MANAGER)
(314) 368-5849
Entity
Organization
Contact information
Practice address
2 GOOD SAMARITAN WAY STE 200, MOUNT VERNON, IL 62864-2476
(618) 899-5703
(618) 899-5704
Mailing address
2 GOOD SAMARITAN WAY, SUITE 205, MOUNT VERNON, IL 62864-2408
(618) 899-3869
(618) 899-3558
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/24/2017
Last updated
03/08/2017
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