Active NPI
Superior Medical Services, LTD
- Anesthesiology Physician
- Libertyville, IL
National Provider Identifier
1043359730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SUPERIOR MEDICAL SERVICES, LTD
- Practice address
- 225 E Park Ave
Libertyville, IL 60048-2876 - Phone
- (847) 816-9296
- Fax
- (847) 816-9307
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie R Nemeth
- Title
- Executive Administrator
- Phone
- (847) 816-9296
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X | 2006N0192 | IL |
Addresses
Primary practice location
225 E Park Ave
Libertyville, IL 60048-2876
Mailing address
225 E Park Ave
Libertyville, IL 60048-2876
Phone (847) 816-9296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001621156 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
225 E Park Ave
Libertyville, IL 60048
Phone (847) 816-9292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- McHenry, IL
- NPI 1548288624
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1043359730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E PARK AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482876",
"telephone_number": "847-816-9296",
"fax_number": "847-816-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E PARK AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600482876",
"telephone_number": "847-816-9296",
"fax_number": "847-816-9307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR MEDICAL SERVICES, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "NEMETH",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
"authorized_official_telephone_number": "847-816-9296"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "2006N0192",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0001621156",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.