NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1497959936 |   |   |   | PAIN CONSULTANTS OF CENTRAL ILLINOIS LLC | 1800 E LAKE SHORE DR | DECATUR | IL | 625213810 |
1821257783 |   |   |   | ANESTHESIA PAIN SERVICES LLC | 1800 E LAKE SHORE DR | DECATUR | IL | 625213810 |
1952560013 |   |   |   | ANESTHESIA SERVICES, LLC | 1800 E LAKE SHORE DR | DECATUR | IL | 625213810 |
1700110996 | WEAVER | MARISSA | DYANNE |   | 1800 E LAKE SHORE DR | DECATUR | IL | 625213810 |