Organization
CENTRAL ILLINOIS ANESTHESIOLOGY ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAFUL VAKIL M.D. (PRESIDENT)
(217) 419-3399
Entity
Organization
Contact information
Practice address
3801 IRELAND GROVE RD, BLOOMINGTON, IL 61704-5297
(309) 664-0101
(309) 664-1010
Mailing address
1208 COZZENE DR, MAHOMET, IL 61853-3740
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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