Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anesthesia Associates of Southern Illinois Surgery Center LLC

Organization Anesthesiology Physician · NPI 1043757487

Anesthesia Associates of Southern Illinois Surgery Center LLC is an Anesthesiology Physician in Mount Vernon, Illinois. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Good Samaritan Way Ste 200
Mount Vernon, IL 62864-2476
Phone: (618) 899-5703
Fax: (618) 899-5704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1043757487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Klopfenstein — Financial Operations Manager · (314) 368-5849
NPI enumeratedJanuary 24, 2017
Last updated in NPPESMarch 8, 2017
Mailing address2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408

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