Healthcare Provider Details

I. General information

NPI: 1992979892
Provider Name (Legal Business Name): UC ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W IRVING PARK RD
CHICAGO IL
60613-3077
US

IV. Provider business mailing address

PO BOX 486
LAKE FOREST IL
60045-0486
US

V. Phone/Fax

Practice location:
  • Phone: 773-525-6780
  • Fax:
Mailing address:
  • Phone: 847-615-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: HOWARD SCHECHTER
Title or Position: PRESIDENT
Credential: MD
Phone: 800-444-6110