Individual provider Active NPI

Qian Guo, M.D

  • Anesthesiology Physician
  • Melrose Park, IL
National Provider Identifier
1962444208
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036115031 Issued in IL
Practice address
1225 W Lake St
Melrose Park, IL 60160-4039
Phone
(708) 681-3000
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01056116A IN
Anesthesiology Physician 207L00000X 036115031 IL Primary

Addresses

Primary practice location

1225 W Lake St
Melrose Park, IL 60160-4039

Mailing address

3998 Fair Ridge Dr
Suite 300
Fairfax, UT 22033-2921
Phone (703) 295-9360

Other identifiers 1

IdentifierTypeStateIssuer
IL7200046OtherILMEDICARE NAPA IL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000122 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5597744698 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Town Square Anesthesia LLCGroup PAC ID 9335047455, 21 clinicians

Practice addresses (Care Compare)

3703 Doty Rd
Woodstock, IL 60098-7517
Phone (815) 334-3170

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

Hospital & facility affiliations

  • Community First Medical Center Hospital, Chicago, IL, CCN 140251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01056116AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Anesthesia PLLC Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Encore Anesthesia Group LLC Anesthesiology CurrentSince Oct 29, 2020 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Jul 21, 2012 Accepting new patients
Town Square Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Vista Pain Center Inc PastSince Nov 15, 2012 Accepting new patients
Columbia Rehab and Pain Inc Past Accepting new patients
Midwest Anesthesiologists, LTD. Anesthesiology Past Accepting new patients
Methodist Anesthesia, LLC Anesthesiology Past Accepting new patients
Anesthesiology Consultants LTD Anesthesiology Past Accepting new patients
Anesthesia Care of Effingham, SC Anesthesiology Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

1225 W Lake St
Melrose Park, IL 60160
Phone (708) 681-3000

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1962444208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "UT",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604039",
            "telephone_number": "708-681-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "QIAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01056116A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036115031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NAPA IL",
            "identifier": "IL7200046",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

Verify at the official NPI Registry.