Active NPI
SW Anesthesiology Limited
- Specialist
- Burr Ridge, IL
National Provider Identifier
1447581541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036072981
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036072981 | Medicaid | IL | |
| 1982708582 | Other | IL | PERSONAL NPI |
National Provider Directory
National Provider DirectoryLocations
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.