Organization Active NPI

Xenon Anesthesia of Illinois LLC

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1013352608
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036127296 Issued in IL
Legal business name
XENON ANESTHESIA OF ILLINOIS LLC
Practice address
405 W Superior St FL 7
Chicago, IL 60654-8559
Phone
(618) 462-2316
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Dr. Haroon Chaudhry, MDNPI 1881792919
Title
President
Phone
(917) 621-6854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 036127296 IL Primary

Addresses

Primary practice location

405 W Superior St FL 7
Chicago, IL 60654-8559

Mailing address

111 Town Square PL Ste 420
Jersey City, NJ 07310-1724
Phone (888) 589-8550

National Provider Directory

National Provider Directory

Locations

8560 W Sunset Blvd
Ste 511
West Hollywood, CA 90069

405 W Superior St
Fl 7
Chicago, IL 60654
Phone (312) 848-1534

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1013352608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL STE 420",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101724",
            "telephone_number": "888-589-8550",
            "fax_number": "646-304-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W SUPERIOR ST FL 7",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548559",
            "telephone_number": "618-462-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XENON ANESTHESIA OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-621-6854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036127296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.