University Anesthesiologists SC
Organization Active NPI Anesthesiology Physician · Chicago, IL
NPI 1073558136 · NPPES record last updated Jan 2, 2015
Key facts
- NPI
- 1073558136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- UNIVERSITY ANESTHESIOLOGISTS SC
- Practice address
- 1653 W Congress Pkwy
735 Jelke Anesthesia Dept.
Chicago, IL 60612-3833 - Phone
- (312) 942-6504
- Fax
- (312) 942-5773
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth Tuman, MD
- Title
- President
- Phone
- (312) 942-3135
Corporate family (same tax ID) 4
Member organizations 2
Practitioners 280
-
Heidi L. Aguilar, CRNA
-
David A Akre, CRNA
-
Melissa Alandy, CRNA
-
Sandeep Amin, MD
-
Lisa R Arford, CRNA
-
Annmarie Bach, CRNA
-
Sandra L Barcelona, M.D
-
Jacylyn Marie Bartow, CRNA
-
Angela Tylka Benzuly, CRNA
-
Darlene Sliva Bingham, CRNA
-
Brian Birmingham, M.D.
-
Kristen Bryan, RN
-
Sarah Marie Cocoma, M.D.
-
Joyal Degani, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040415000513 | IL | Part B Supplier - Clinic/Group Practice | 4183512080 |
Receives reassigned benefits from 184 practitioners Practice locations: Chicago, IL; Oak Park, IL; Oak Brook, IL |
National Provider Directory
- Tax ID family
- University Anesthesiologists SC
Locations
5151 N Harlem Ave
Ste 212
Chicago, IL 60656
Phone (312) 942-6450
1653 W Congress Pkwy
Ste 740
Chicago, IL 60612
1653 W Congress Pkwy
#739
Chicago, IL 60612
Phone (312) 942-3138
1753 W Harrison St
Chicago, IL 60612
Phone (847) 657-3770
8901 Golf Rd
Ste 302
Des Plaines, IL 60016
Phone (847) 299-2273
1800 McDonough Rd
Ste 210
Hoffman Estates, IL 60192
Phone (847) 697-1300
520 S Maple Ave
Fl 7
Oak Park, IL 60304
Phone (708) 763-0872
520 S Maple Ave
Ste 1500
Oak Park, IL 60304
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Clinical Psychologist |
103TC0700X | |||
| Anesthesiology Physician |
207L00000X | Yes | ||
| Critical Care Medicine (Anesthesiology) Physician |
207LC0200X | |||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Surgery Physician |
208600000X | |||
| Interventional Pain Medicine Physician |
208VP0014X | IL | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
1653 W Congress Pkwy
735 Jelke Anesthesia Dept.
Chicago, IL 60612-3833
Mailing address
1653 W Congress Pkwy
735 Jelke Anesthesia Dept.
Chicago, IL 60612-3833
Phone (312) 942-6504
Other providers in Chicago, IL
- Universal Portable X-Ray Service, Inc.
- Universal Radiology LTD
- Universal Wellness Source at Lakeshore East SC
- Universall Healing
- Universidad Popular
- University Anesthesiologists SC
- University Associates in Dentistry, LTD.
- University Associates in Internal Medicine S.C.
- University Dental Associates
- University Dental Associates
All providers in Chicago, IL · Anesthesiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.