OrganizationActive
Aef Management
NPI 1801209127 · Pain Medicine (Anesthesiology) Physician · Jacksonville, IL
Provider details
- NPI number
- 1801209127
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shane Fancher, Owner(847) 615-2200
- License
- 036094339 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1600 W Walnut St
Jacksonville, IL 62650-1136
Phone: (217) 245-9541
Fax: (217) 479-8781
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 570
Lake Forest, IL 60045-0570
Registry dates
- Enumerated
- 2014-06-04
- Last updated
- 2014-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.