ADDICTION WELLNESS SERVICES INC NPI 1467966853

NPI Information

  • NPI: 1467966853
  • Provider Name: ADDICTION WELLNESS SERVICES INC
  • Classification: Anesthesiology - 207LP3000X
  • Specialization: Pediatric Anesthesiology
  • Entity Type: Organization
  • Address: 5504 N 2ND ST
    LOVES PARK, IL
    ZIP 61111
  • Phone: (815) 997-4516

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NPI Details

ADDICTION WELLNESS SERVICES INC is a pediatric anesthesiology in Loves Park, IL. The provider is an anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. ADDICTION WELLNESS SERVICES INC NPI is 1467966853. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5504 N 2ND ST
LOVES PARK, IL
ZIP 61111-013
Phone: (815) 997-4516

The provider's authorized official is Gagandeep Goyal .
The authorized official title is President and has the following contact phone number (267) 226-4760.

The enumeration date for this NPI number is 11/22/2017 and was last updated on 1/29/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP3000XAnesthesiologyPediatric AnesthesiologyMD438154PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036144684OTHERILLINOISIL LICENSE
2MD438154OTHERPENNSYLVANIAPA LICENSE

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: 11/21/2025

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