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NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE LLC NPI 1447255799


NPI Information

NPI: 1447255799
Provider Name: NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE, LLC
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization

CLIA Number: 14D0896563

Address:
3034 W PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 973-7432
Get Directions

NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE, LLC is a nurse anesthetist certified registered in Chicago, IL. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE, LLC NPI is 1447255799. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3034 W PETERSON AVE
CHICAGO, IL
ZIP 60659-729
Phone: (773) 973-7432
Fax: (773) 973-4134

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5900.

The CLIA number assigned to this NPI record is 14D0896563 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 5/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered=========ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA0181OTHERRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.