NPIMap

Organization Active NPI

Advocate Southwest Ambulatory Surgery Center LLC

Doing business as Tinley Woods Anesthesia Services

  • Anesthesiology Physician
  • Tinley Park, IL
National Provider Identifier
1336290386
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC
Doing business as
Tinley Woods Anesthesia Services
Practice address
18200 S. Lagrange Road
Tinley Park, IL 60487
Phone
(708) 570-2490
Fax
(708) 570-2499
NPI assigned
Jan 16, 2007
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Mr. Ronald P Ladniak
Title
Administrator
Phone
(630) 852-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

18200 S. Lagrange Road
Tinley Park, IL 60487

Mailing address

18200 S. Lagrange Road
Tinley Park, IL 60487
Phone (708) 570-2490

Other identifiers 1

IdentifierTypeStateIssuer
CK7845OtherILRAILROAD MEDICARE

Other names 1

  • Tinley Woods Anesthesia Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1336290386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 S. LAGRANGE ROAD",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60487",
            "telephone_number": "708-570-2490",
            "fax_number": "708-570-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 S. LAGRANGE ROAD",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60487",
            "telephone_number": "708-570-2490",
            "fax_number": "708-570-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "LADNIAK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-852-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK7845",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tinley Woods Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.