Healthcare Provider Details

I. General information

NPI: 1164437570
Provider Name (Legal Business Name): ANESTHESIA2GO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 W HIGGINS RD STE 1100
ROSEMONT IL
60018-4962
US

IV. Provider business mailing address

8420 W BRYN MAWR AVE STE 300
CHICAGO IL
60631-3436
US

V. Phone/Fax

Practice location:
  • Phone: 773-756-5760
  • Fax:
Mailing address:
  • Phone: 773-756-5760
  • 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: JOSH GANTZ
Title or Position: CFO
Credential:
Phone: 773-756-5760