NPIMap

Organization Active NPI

Mobile Anesthesiologists

  • Skilled Nursing Facility
  • Mount Prospect, IL
National Provider Identifier
1518227461
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
041359374 Issued in IL
Legal business name
MOBILE ANESTHESIOLOGISTS
Practice address
1839 W Locust LN
Mount Prospect, IL 60056-4405
Phone
(847) 269-6688
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Miss Kinga Agata Rydel
Title
RN
Phone
(847) 269-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 041359374 IL Primary

Addresses

Primary practice location

1839 W Locust LN
Mount Prospect, IL 60056-4405

Mailing address

1839 W Locust LN
Mount Prospect, IL 60056-4405
Phone (847) 269-6688

Other identifiers 1

IdentifierTypeStateIssuer
041.359374OtherILRN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1518227461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 W LOCUST LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564405",
            "telephone_number": "847-269-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 W LOCUST LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564405",
            "telephone_number": "847-269-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ANESTHESIOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "RYDEL",
        "authorized_official_first_name": "KINGA",
        "authorized_official_middle_name": "AGATA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "847-269-6688",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "041359374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "041.359374",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.