Organization Active NPI

Gi Anesthesia Providers of Illinois, PLLC

  • Anesthesiology Physician
  • Libertyville, IL
National Provider Identifier
1639056047
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GI ANESTHESIA PROVIDERS OF ILLINOIS, PLLC
Practice address
950 Technology Way Ste 130&250
Libertyville, IL 60048-5366
Phone
(224) 407-4400
Fax
(224) 407-2255
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPREHENSIVE GASTROINTESTINAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Lindsay Kelley
Title
Assistant Operations Manager
Phone
(224) 407-4789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

950 Technology Way Ste 130&250
Libertyville, IL 60048-5366

Mailing address

950 Technology Way Ste 130&250
Libertyville, IL 60048-5366
Phone (224) 407-4400

Other practice location 1

40 Skokie Blvd Ste 110
Northbrook, IL 60062-1614
Phone (224) 407-4400

Other names 1

  • COMPREHENSIVE GASTROINTESTINAL HEALTH Other name

National Provider Directory

National Provider Directory
Part of
Comprehensive Gastrointestinal Health LLC

Locations

950 Technology Way
Ste 130250
Libertyville, IL 60048
Phone (224) 407-4400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1639056047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TECHNOLOGY WAY STE 130&250",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485366",
            "telephone_number": "224-407-4400",
            "fax_number": "224-407-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TECHNOLOGY WAY STE 130&250",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485366",
            "telephone_number": "224-407-4400",
            "fax_number": "224-407-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Skokie Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600621614",
            "country_code": "US",
            "telephone_number": "224-407-4400",
            "fax_number": "224-407-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GI ANESTHESIA PROVIDERS OF ILLINOIS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE GASTROINTESTINAL HEALTH, LLC",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "ASSISTANT OPERATIONS MANAGER",
        "authorized_official_telephone_number": "224-407-4789"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE GASTROINTESTINAL HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.