Organization Active NPI

Progressive Anesthesia Inc.

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1154913192
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PROGRESSIVE ANESTHESIA INC.
Practice address
1921 S Michigan Ave
Chicago, IL 60616-1603
Phone
(312) 414-1088
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Yanxu Liu, CRNA
Title
Owner
Phone
(740) 707-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1921 S Michigan Ave
Chicago, IL 60616-1603

Mailing address

PO Box 2655
Idaho Falls, ID 83403-2655
Phone (208) 525-2090

National Provider Directory

National Provider Directory

Locations

1921 S Michigan Ave
Chicago, IL 60616
Phone (312) 328-9220

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1154913192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2655",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032655",
            "telephone_number": "208-525-2090",
            "fax_number": "208-523-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161603",
            "telephone_number": "312-414-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ANESTHESIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "YANXU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-707-6114",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "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 10, 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.