LOGAN SQUARE ANESTHESIA PC (NPI# 1629194113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629194113 |
| Entity Type | Organization |
| Organization Name | LOGAN SQUARE ANESTHESIA PC |
| Practice Address |
3538 W Fullerton Ave Chicago IL 60647-2443 |
| Mailing Address |
Po Box 249 Winnetka IL 60093-0249 |
| Practice Telephone | 7737721212 |
| Practice Fax Number | 7737728666 |
| Mailing Telephone | 7737721212 |
| Mailing Fax Number | 7737728666 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RAMON ANDRES GARCIA (PRESIDENT) |
| Authorized Official Telephone | 7737721212 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3538 W FULLERTON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730100173 | Andrew Gorchynsky | Surgery | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2006-07-21 |
| 1457532822 | Solaris Diagnostics PC | Pathology | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2007-11-14 |
| 1639295108 | Garcia Radiology PC | Radiology | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2007-03-22 |
| 1043336530 | Cardinal Surgery Systems PC | Internal Medicine | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2007-03-22 |
| 1205965050 | Jesus Mancilla Sr. | Specialist | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2007-03-05 |
| 1124178330 | Ramon A Garcia Md PC | Internal Medicine | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2007-01-11 |
| 1235295999 | Ramon Andres Garcia Jr. | Internal Medicine | 3538 W Fullerton Ave, Chicago, IL 60647-2443 | 2006-12-28 |
| 1063518488 | Yolanda Lalyre-rodriguez | Internal Medicine | 3538 W Fullerton Ave, Mc 716, Chicago, IL 60647-2443 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983981 | Ankit Arora | Anesthesiology | 836 W Wellington Ave Ste 4874, Chicago, IL 60657-5147 | 2020-05-07 |
| 1922628122 | Frank Joseph Bailey | Anesthesiology | 5841 S Maryland Ave # Mc4208, Chicago, IL 60637-1443 | 2020-04-17 |
| 1770140212 | Sara Boldt | Anesthesiology | Rush University Medical Center, Dept. of Anesthesiology, 1653 W. Congress Parkway, Suite 739, Chicago, IL 60612 | 2019-05-21 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1982181418 | Syed Abdul Rahman | Anesthesiology | 1969 Ogden Ave, 5th Floor 5670, Chicago, IL 60612 | 2018-07-27 |
| 1104311810 | Mukund Gande | Anesthesiology | 1956 W Erie St Unit 3e, Chicago, IL 60622-5671 | 2018-06-25 |
| 1790274041 | Integrated Pain Management, Sc | Anesthesiology | 2674 N. Halsted, Chicago, IL 60614-2302 | 2018-05-02 |
| 1508355876 | Integrated Pain Management, Sc | Anesthesiology | 4906 N. Western, Chicago, IL 60625-1922 | 2018-05-02 |
| 1881191849 | Wooheon Thomas Kim | Anesthesiology | 251 East Huron Street (northwestern Memorial Hospital), Chicago, IL 60611 | 2018-04-06 |
| 1922500461 | Paul Randall Barach | Anesthesiology | 711 S Dearborn St Unit 201, Chicago, IL 60605-1823 | 2018-02-28 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.