Active NPI
Anesthesia Advocates, PC
- Anesthesiology Physician
- New Lenox, IL
National Provider Identifier
1790797710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120963600 | Other | IL | DEPT OF LABOR |
| CK3979 | Other | IL | RAILROAD MEDICARE |
| 9932061 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
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- Homewood, IL
- NPI 1922012046
-
- Foot & Ankle Surgery Podiatrist
- Homewood, IL
- NPI 1083628101
-
- Certified Registered Nurse Anesthetist
- Elkhart, IN
- NPI 1356396188
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.