James Maronic, MD
Individual provider Active NPI Anesthesiology Physician · Lagrange, IL
NPI 1992880868 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992880868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Practice address
- 5101 S. Willow Springs Rd.
Lagrange, IL 60525 - Phone
- (708) 352-1200
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036044347 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HLG Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IL | Yes |
Addresses
Primary practice location
5101 S. Willow Springs Rd.
Lagrange, IL 60525
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440
Other providers in Lagrange, IL
- David E Kaczor
- Bridget R Kane
- Kevin E Collins DDS PC
- Jody Y Lin
- Lyons Township H. S. District 204
- Mark C Matray
- Ronald William McQuigg
- Morad Kamal Misleh
- William Joseph Moran
- Patricia Multack
All providers in Lagrange, IL · Anesthesiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.