Park Anesthesia, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PARK ANESTHESIA, LLC

Practice address

151 Dundee Ave
East Dundee, IL 60118-1648

Phone

(847) 551-9601

NPI assigned

Jan 25, 2008

Last updated

Jan 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Baroukh Levi, MD

Title

President

Phone

(219) 934-5300

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1649457334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 OTIS BOWEN DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214158",
            "telephone_number": "219-934-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DUNDEE AVE",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181648",
            "telephone_number": "847-551-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "BAROUKH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-934-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL BCBS",
            "identifier": "01633948",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory M Neu, DDS
• Jan Odiaga, DNP CPNP
• Tolulope Olaniyan, FNP
• Aieden G Padao, FNP-BC
• Allan H Palatnick, OD
• Leo G Pepa, MD
• Teresa C Pierce
• Srinivas R Ravanam, M.D.
• Hiral Rawal
• Steven Rehusch, M.D.

• Anesthesiology Physician in East Dundee, IL
• Providers in East Dundee, IL by specialty
• Anesthesiology Physician in Illinois

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