Crossroads Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CROSSROADS ANESTHESIA LLC

Practice address

815 Pasquinelli Dr
Westmont, IL 60559-1276

Phone

(630) 654-2515

NPI assigned

Nov 20, 2017

Last updated

Nov 20, 2017By 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

Dr. Raghu Shantan Reddy Marri, MD

Title

Owner

Phone

(630) 776-4711

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1225542830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S MICHIGAN AVE APT 802",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PASQUINELLI DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591276",
            "telephone_number": "630-654-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "MARRI",
        "authorized_official_first_name": "RAGHU SHANTAN",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-776-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Dupage Department of Health (DuPage County Health Department)
• Madelynn Craft
• Crave Cookie Berwyn LLC
• Jacey Credo, RN
• Jason T Cropsey, APN
• Corita Nadine Crumpton
• Senora Amanda Curtis
• D.Feeney Counseling & Consulting LLC
• Gregory Hampton Dairyko Jr., MD
• Jamal Eddine Daki, M.D.

• Anesthesiology Physician in Westmont, IL
• Providers in Westmont, 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 20, 2017; 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.