Organization Active NPI

Westside Anesthesia Consultants, S.C.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1619134301
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
042616725 Issued in IL
Legal business name
WESTSIDE ANESTHESIA CONSULTANTS, S.C.
Practice address
2128 W Cortez St
Chicago, IL 60622-3601
Phone
(773) 593-4607
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Jeffrey Benjamin Wygodny, M.D.NPI 1437263076
Title
President
Phone
(773) 593-4607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 042616725 IL Primary

Addresses

Primary practice location

2128 W Cortez St
Chicago, IL 60622-3601

Mailing address

2128 W Cortez St
Chicago, IL 60622-3601
Phone (773) 593-4607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1619134301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 W CORTEZ ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223601",
            "telephone_number": "773-593-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 W CORTEZ ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223601",
            "telephone_number": "773-593-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ANESTHESIA CONSULTANTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "WYGODNY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-593-4607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "042616725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.