NPIMap

Organization Active NPI

Preferred Anesthesia Services P C

  • Anesthesiology Physician
  • Des Plaines, IL
National Provider Identifier
1508922790
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
109961-030 Issued in WI
Legal business name
PREFERRED ANESTHESIA SERVICES P C
Practice address
1455 E Golf Rd
Des Plaines, IL 60016-1250
Phone
(847) 390-7666
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Cynthia Topel, CRNA
Title
Owner
Phone
(312) 562-8633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 109961-030 WI Primary

Addresses

Primary practice location

1455 E Golf Rd
Des Plaines, IL 60016-1250

Mailing address

527 Courtland Ave
Park Ridge, IL 60068-4827
Phone (312) 562-8633

Other identifiers 1

IdentifierTypeStateIssuer
0001606018OtherILBCBS OF IL

National Provider Directory

National Provider Directory

Locations

4040 W Peterson Ave
Chicago, IL 60646
Phone (773) 267-0554

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1508922790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 COURTLAND AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684827",
            "telephone_number": "312-562-8633",
            "fax_number": "847-692-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161250",
            "telephone_number": "847-390-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED ANESTHESIA SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "TOPEL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-562-8633",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "109961-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "0001606018",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.