OrganizationActive
Advanced Anesthesia Ltd
NPI 1497203475 · Pain Medicine (Anesthesiology) Physician · Chicago, IL
Provider details
- NPI number
- 1497203475
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Rosenthal, Director(224) 231-4363
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Practice location
2937 W 63rd St
Chicago, IL 60629-2753
Phone: (224) 231-4363
Fax: (866) 642-1525
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 570
Lake Forest, IL 60045-0570
Registry dates
- Enumerated
- 2016-09-19
- Last updated
- 2016-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.