Organization Active NPI

Anesthesia Advocates, PC

  • Anesthesiology Physician
  • New Lenox, IL
National Provider Identifier
1790797710
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA ADVOCATES, PC
Practice address
1210 Crown Fox LN
New Lenox, IL 60451-1205
Phone
(815) 320-3086
Fax
(815) 464-1767
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Angela Agnich, CRNA
Title
Owner
Phone
(815) 320-3086

Specialties & licenses 1

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

Addresses

Primary practice location

1210 Crown Fox LN
New Lenox, IL 60451-1205

Mailing address

PO Box 367
Frankfort, IL 60423-0367
Phone (815) 320-3086

Other identifiers 3

IdentifierTypeStateIssuer
120963600OtherILDEPT OF LABOR
CK3979OtherILRAILROAD MEDICARE
9932061OtherILBCBS

National Provider Directory

National Provider Directory

Locations

810 E Division St
Coal City, IL 60416
Phone (815) 634-2324

1757 Ridge Rd
Homewood, IL 60430
Phone (708) 795-7500

1S280 Summit Ave
Ste A1
Oakbrook Terrace, IL 60181
Phone (773) 320-7307

Practitioners & affiliated clinicians

Practitioners 3

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": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1790797710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604230367",
            "telephone_number": "815-320-3086",
            "fax_number": "815-464-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 CROWN FOX LN",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511205",
            "telephone_number": "815-320-3086",
            "fax_number": "815-464-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ADVOCATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "AGNICH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-320-3086",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "120963600",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK3979",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9932061",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.