Organization
SOUTHERN ILLINOIS ANESTHESIOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK M EATON MD (PRESIDENT)
(618) 241-1108
Entity
Organization
Contact information
Practice address
605 N 12TH STREET, MOUNT VERNON, IL 62864-2857
(618) 241-1108
(618) 241-3805
Mailing address
4227 LINCOLNSHIRE DRIVE, MOUNT VERNON, IL 62864-2157
(618) 242-2317
(618) 242-9710
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
42617784
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
42617784
IL
367500000X
Certified Registered Nurse Anesthetist
42617784
IL
Other
Enumeration date
08/17/2006
Last updated
09/11/2025
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