NPIMap

Organization Active NPI

Beneficent Anesthesia LTD

  • Anesthesiology Physician
  • Lake Bluff, IL
National Provider Identifier
1083028138
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036107926 Issued in IL
Legal business name
BENEFICENT ANESTHESIA LTD
Practice address
925 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone
(224) 544-5942
Fax
(866) 642-1525
NPI assigned
Jun 17, 2014
Last updated
Jun 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Dr. Cleo Casambre, M.D.
Title
President
Phone
(773) 209-8978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036107926 IL Primary

Addresses

Primary practice location

925 Sherwood Dr
Lake Bluff, IL 60044-2203

Mailing address

925 Sherwood Dr
Lake Bluff, IL 60044-2203
Phone (224) 544-5942

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1083028138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SHERWOOD DR",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442203",
            "telephone_number": "224-544-5942",
            "fax_number": "866-642-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SHERWOOD DR",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442203",
            "telephone_number": "224-544-5942",
            "fax_number": "866-642-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFICENT ANESTHESIA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "CASAMBRE",
        "authorized_official_first_name": "CLEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-209-8978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036107926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.