Aegis Ambulatory Anesthesia, LTD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

AEGIS AMBULATORY ANESTHESIA, LTD

Practice address

6701 West 159TH Street
Tinley Park, IL 60477-1758

Phone

(708) 429-0222

NPI assigned

Jan 30, 2012

Last updated

Nov 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alicia Citari, CRNA

Title

Authorized Official

Phone

(630) 640-9618

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Edwin Jones, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Crystal Lake, IL
  • NPI 1215955745
  NPD (past)
• Frank J. Kniffen, M.D.

  • Anesthesiology Physician
  • Tinley Park, IL
  • NPI 1124027651
  NPD (past)

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1104198647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 WASHINGTON ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605161311",
            "telephone_number": "630-640-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 WEST 159TH STREET",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771758",
            "telephone_number": "708-429-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS AMBULATORY ANESTHESIA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "CITARI",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "630-640-9618",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariya Adlington
• Advanced Orthopedic and Spine Care SC
• Advocate Health Care
• Advocate Southwest Ambulatory Surgery Center LLC (Tinley Woods Surgery Center)
• Advocate Southwest Ambulatory Surgery Center LLC (Tinley Woods Anesthesia Services)
• Mohanad Ziad Affaneh
• Vasia A Ahmed, M.D.
• Aidpro Health Providers LLC
• Cyrus Akrami, M.D.
• Hytham Al-Masri, M.D.

• Anesthesiology Physician in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.