Organization Active NPI

SW Anesthesiology Limited

  • Specialist
  • Burr Ridge, IL
National Provider Identifier
1447581541
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036072981 Issued in IL
Legal business name
SW ANESTHESIOLOGY LIMITED
Practice address
104 Circle Ridge Dr
Burr Ridge, IL 60527-8379
Phone
(630) 632-4435
Fax
(773) 767-8133
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Abdul R Wahood, MD
Title
President
Phone
(630) 887-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036072981 IL Primary

Addresses

Primary practice location

104 Circle Ridge Dr
Burr Ridge, IL 60527-8379

Mailing address

104 Circle Ridge Dr
Burr Ridge, IL 60527-8379
Phone (630) 632-4435

Other identifiers 2

IdentifierTypeStateIssuer
036072981MedicaidIL
1982708582OtherILPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

8600 S Pulaski Rd
Chicago, IL 60652
Phone (773) 767-8132

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1447581541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CIRCLE RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278379",
            "telephone_number": "630-632-4435",
            "fax_number": "773-767-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CIRCLE RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278379",
            "telephone_number": "630-632-4435",
            "fax_number": "773-767-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW ANESTHESIOLOGY LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "WAHOOD",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-887-1201",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036072981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072981",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1982708582",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.