Active NPI
Lake County Anesthesiologists LTD
- Anesthesiology Physician
- Libertyville, IL
National Provider Identifier
1306867056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LAKE COUNTY ANESTHESIOLOGISTS LTD
- Practice address
- 800 S Milwaukee Ave
Libertyville, IL 60048-3254 - Phone
- (800) 444-6110
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raghu Thunga, MD
- Title
- President
- Phone
- (630) 868-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
800 S Milwaukee Ave
Libertyville, IL 60048-3254
Mailing address
387 Shuman Blvd Ste 240W
Naperville, IL 60563-8113
Phone (630) 868-2200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
800 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-6660
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Libertyville, IL
- NPI 1972578227
-
- Anesthesiology Physician
- Libertyville, IL
- NPI 1477587616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640908800000",
"number": "1306867056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 SHUMAN BLVD STE 240W",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638113",
"telephone_number": "630-868-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S MILWAUKEE AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483254",
"telephone_number": "800-444-6110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE COUNTY ANESTHESIOLOGISTS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2021-12-31",
"certification_date": "2021-12-31",
"status": "A",
"authorized_official_last_name": "THUNGA",
"authorized_official_first_name": "RAGHU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-868-2200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "health system",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 S Milwaukee Ave",
"city": "Libertyville",
"state": "IL",
"country_code": "US",
"postal_code": "600483254",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.