Organization Active NPI

Anesthesia Associates of Illinois S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1871244129
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ANESTHESIA ASSOCIATES OF ILLINOIS S.C.
Practice address
2651 N Laramie Ave
Chicago, IL 60639-1613
Phone
(773) 373-0062
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Nathan M Smith
Title
Billing Manager
Phone
(810) 358-8749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2651 N Laramie Ave
Chicago, IL 60639-1613

Mailing address

2651 N Laramie Ave
Chicago, IL 60639-1613

National Provider Directory

National Provider Directory

Locations

2651 N Laramie Ave
Chicago, IL 60639
Phone (773) 745-0301

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1871244129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 N LARAMIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 N LARAMIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391613",
            "telephone_number": "773-373-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA ASSOCIATES OF ILLINOIS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "810-358-8749"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.