Organization Active NPI

JW Anesthesia SC

  • Specialist
  • Highland Park, IL
National Provider Identifier
1487107108
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JW ANESTHESIA SC
Practice address
1811 Saint Johns Ave
Highland Park, IL 60035-5607
Phone
(708) 669-9313
Fax
(708) 377-9354
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
John Gwin
Title
Billing
Phone
(708) 669-9313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1811 Saint Johns Ave
Highland Park, IL 60035-5607

Mailing address

1811 Saint Johns Ave
Highland Park, IL 60035-5607
Phone (708) 669-9313

National Provider Directory

National Provider Directory

Locations

1811 Saint Johns Ave
Highland Park, IL 60035
Phone (312) 642-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1487107108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SAINT JOHNS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355607",
            "telephone_number": "708-669-9313",
            "fax_number": "708-377-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SAINT JOHNS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355607",
            "telephone_number": "708-669-9313",
            "fax_number": "708-377-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW ANESTHESIA SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "GWIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "708-669-9313"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.