Aef Management

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036094339 Issued in IL

Legal business name

AEF MANAGEMENT

Practice address

1600 W Walnut St
Jacksonville, IL 62650-1136

Phone

(217) 245-9541

Fax

(217) 479-8781

NPI assigned

Jun 4, 2014

Last updated

Aug 22, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shane R Fancher

Title

Owner

Phone

(847) 615-2200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1801209127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450570",
            "telephone_number": "847-615-2200",
            "fax_number": "888-735-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501136",
            "telephone_number": "217-245-9541",
            "fax_number": "217-479-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEF MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-615-2200"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036094339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A.R.C. of Jacksonville, LTD
• Kristy Abell, RPH
• Air Evac EMS Inc (Air Evac Lifeteam)
• Jan Ala
• Donna J Albers, LPN
• Kaleigh Morgan Albers, OD
• Andrea Albrecht, APRN, FNP-C

• Pain Medicine (Anesthesiology) Physician in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.