Logan Square Anesthesia PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LOGAN SQUARE ANESTHESIA PC

Practice address

3538 W Fullerton Ave
Chicago, IL 60647-2443

Phone

(773) 772-1212

Fax

(773) 772-8666

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ramon Andres Garcia, MD

Title

President

Phone

(773) 772-1212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629194113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600930249",
            "telephone_number": "773-772-1212",
            "fax_number": "773-772-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472443",
            "telephone_number": "773-772-1212",
            "fax_number": "773-772-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN SQUARE ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-772-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rose Loftus, DO
• Timothy Michael Loftus, M.D.
• Logan Authorization
• Logan General Medical Center Inc
• Logan Square Acupuncture, LLC
• Logan Square Counseling LLC
• Logan Square Dental Service Center
• Logan Square Foot Center
• Logan Square Foot Center PC
• Logan Square Medical Institute SC

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.