OrganizationActive
Aegis Ambulatory Anesthesia, Ltd
NPI 1104198647 · Anesthesiology Physician · Tinley Park, IL
Provider details
- NPI number
- 1104198647
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Citari, Authorized Official(630) 640-9618
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiologist Assistant367H00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6701 West 159th Street
Tinley Park, IL 60477-1758
Phone: (708) 429-0222
Approximate (ZIP-level) locationGet directions
Mailing address
5740 Washington St
Downers Grove, IL 60516-1311
Registry dates
- Enumerated
- 2012-01-30
- Last updated
- 2016-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.