# MIDWESTERN ANESTHESIOLOGY SC

> 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:** 1528567831
- **Authorized official:** DR. SYLVIA XI-MOY MD (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (847) 872-7544

## Contact information

- **Practice address:** 2520 ELISHA AVE, ZION, IL 60099-2676
- **Practice address phone:** (847) 872-7544
- **Mailing address:** 255 W MICHIGAN AVE, JACKSON, MI 49201-2218
- **Mailing address phone:** (800) 516-5315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 02/02/2018