Principal Anesthesia LLC

Organization Active NPI Anesthesiology Physician · Munster, IN

NPI 1366098162 · NPPES record last updated Aug 16, 2019

Key facts

NPI
1366098162
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
PRINCIPAL ANESTHESIA LLC
Practice address
1928 45TH St
Munster, IN 46321-3917
Phone
(219) 476-7246
NPI assigned
Aug 16, 2019
Organization subpart
No

Authorized official

Name
Roni Aizigov, CRNA
Title
Owner
Phone
(847) 615-2200

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1928 45th St
Munster, IN 46321
Phone 2194767246 ext. 321

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

1928 45TH St
Munster, IN 46321-3917

Mailing address

PO Box 70
Lake Forest, IL 60045-0070
Phone (800) 444-6110

Other providers in Munster, IN

All providers in Munster, IN · Anesthesiology Physician in Indiana

Sources for this page

Verify at the official NPI Registry.