CENTRAL ILLINOIS ASSOCIATES LTD NPI 1558425462

NPI Information

  • NPI: 1558425462
  • Provider Name: CENTRAL ILLINOIS ASSOCIATES LTD
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 1800 E LAKE SHORE DR
    DECATUR, IL
    ZIP 62521
  • Phone: (217) 464-5839

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NPI Details

CENTRAL ILLINOIS ASSOCIATES LTD is a pain medicine anesthesiology in Decatur, IL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. CENTRAL ILLINOIS ASSOCIATES LTD NPI is 1558425462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1800 E LAKE SHORE DR
DECATUR, IL
ZIP 62521-810
Phone: (217) 464-5839
Fax: (217) 464-1671

The provider's authorized official is Shane Fancher .
The authorized official title is President and has the following contact phone number (217) 464-5839.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 1/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2207LC0200XAnesthesiologyCritical Care MedicineNo
3207LP3000XAnesthesiologyPediatric AnesthesiologyNo
4207LP2900XAnesthesiologyPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1576950MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP# CRNAS
2504240MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP# DOCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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