Healthcare Provider Details

I. General information

NPI: 1215163555
Provider Name (Legal Business Name): MSH ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 07/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7847 CALUMET AVE
MUNSTER IN
46321-1213
US

IV. Provider business mailing address

925 SHERWOOD DR
LAKE BLUFF IL
60044-2203
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: HOWARD SCHECHTER
Title or Position: PRESIDENT
Credential: MD
Phone: 847-433-1539