Active NPI
Midwestern Anesthesiology SC
- Anesthesiology Physician
- Zion, IL
National Provider Identifier
1528567831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MIDWESTERN ANESTHESIOLOGY SC
- Practice address
- 2520 Elisha Ave
Zion, IL 60099-2676 - Phone
- (847) 872-7544
- NPI assigned
- Feb 2, 2018
- 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
- Dr. Sylvia XI-Moy, MD
- Title
- Authorized Representative
- Phone
- (847) 872-7544
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
2520 Elisha Ave
Zion, IL 60099-2676
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (800) 516-5315
National Provider Directory
National Provider DirectoryLocations
29733 Network Pl
Chicago, IL 60673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517529600000",
"number": "1528567831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "800-516-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 ELISHA AVE",
"city": "ZION",
"state": "IL",
"postal_code": "600992676",
"telephone_number": "847-872-7544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWESTERN ANESTHESIOLOGY SC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-02",
"last_updated": "2018-02-02",
"status": "A",
"authorized_official_last_name": "XI-MOY",
"authorized_official_first_name": "SYLVIA",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "847-872-7544",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zion, IL
- Jodie Kathleen McGovern
- Michelle Meyers
- Mickey Inc.
- Mid America Rehabilitation Consultants Inc
- Midwest Examination Services, Inc
- Midwestern Regional Medical Center
- Midwestern Regional Medical Center
- Midwestern Regional Medical Center Pharmacy
- Midwestern Regional Medical Center, Inc.
- Andrea Marie Miller, PHD, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.