# HARBOR ANESTHESIA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205593290
- **Authorized official:** NOELLE WALLIN-SANCHEZ CRNA (COO)
- **Authorized official phone:** (574) 253-1827

## Contact information

- **Practice address:** 4226 N KOLMAR AVE, CHICAGO, IL 60641-1900
- **Practice address phone:** (574) 253-1827
- **Mailing address:** P.O. BOX 736317, CHICAGO, IL 60637-6317
- **Mailing address phone:** (574) 253-1827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2021
- **Last updated:** 06/06/2024