Anesthesia Associates of Crystal Valley, S. C.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

042-006676 Issued in IL

Legal business name

ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S. C.

Practice address

4309 W Medical Center Dr
Suite A201
McHenry, IL 60050-8419

Phone

(815) 385-0084

Fax

(815) 385-8968

NPI assigned

Oct 25, 2006

Organization subpart

No

Name

Dr. Michael Edward Reedy, M.D.

Title

President

Phone

(815) 385-0084

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2010.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1386728236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE A201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-385-0084",
            "fax_number": "815-385-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE A201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-385-0084",
            "fax_number": "815-385-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF CRYSTAL VALLEY, S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-385-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "042-006676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Thomas Anderson
• Samella Anderson
• Samantha Andrae
• Caryn P Andrews, PSYD
• Victoria Isabella Andrzejewski
• Yaneth Angeles Suarez
• Juvenal Angeles
• Karen Lorene Angle
• Leah Anttila, BSW, QIDP
• Idris Ejaz Anwer, M.D

• All providers in McHenry, IL
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.