OrganizationActive
Gi Anesthesia Providers of Illinois, PLLC
NPI 1639056047 · Anesthesiology Physician · Libertyville, IL
Provider details
- NPI number
- 1639056047
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Comprehensive Gastrointestinal Health, LLC
- Organization subpart
- Yes
- Authorized official
- Lindsay Kelley, Assistant Operations Manager(224) 407-4789
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
950 Technology Way Ste 130&250
Libertyville, IL 60048-5366
Phone: (224) 407-4400
Fax: (224) 407-2255
Street-level locationGet directions
Mailing address
950 Technology Way Ste 130&250
Libertyville, IL 60048-5366
Other names (DBA / former)
- Other name
- Comprehensive Gastrointestinal Health
Additional practice locations (1)
- 40 Skokie Blvd Ste 110Northbrook, IL 60062-1614Phone: (224) 407-4400Fax: (224) 407-2255
Registry dates
- Enumerated
- 2025-08-18
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.