Active NPI
Lakeview Anesthesia LLC
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1376654848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LAKEVIEW ANESTHESIA LLC
- Practice address
- 836 W Wellington Ave
Chicago, IL 60657-5147 - Phone
- (773) 975-1600
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mohamed Salem, MD
- Title
- President
- Phone
- (773) 975-1600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X |
Addresses
NPPES NPI RegistryPrimary practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Mailing address
PO Box 70
Lake Forest, IL 60045-0070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2007.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1376654848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600450070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-975-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "SALEM",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-975-1600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Lakeside Oral & Implant Surgery Institute, PC
- Lakeside Psychiatry
- Lakeside Radiologists, SC
- Lakeside Specialized Pediatric Occupational Therapy PLLC
- Lakeside Spine and Wellness Inc
- Lakeview Center for Psychotherapy
- Lakeview Eyecare Center LTD
- Lakeview Family Chiropractic, LLC
- Lakeview Health Network LLC
- Lakeview Home Dialysis LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.