Individual
ELBERT A FASNACHT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 S LEWIS LN, CARBONDALE, IL 62901-3344
(618) 457-4999
(618) 457-5099
Mailing address
721 S LEWIS LN, CARBONDALE, IL 62901-3344
(618) 457-4999
(618) 457-5099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036075250
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036075250
LICENSE
IL
01
—
110019903
RAILROAD MEDICARE
IL
Enumeration date
01/09/2007
Last updated
09/10/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us