# ENCORE ANESTHESIA GROUP LLC

> 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:** 1558987883
- **Authorized official:** SAMIR H NAVIK MD (AUHTORIZED REPRESENTATIVE)
- **Authorized official phone:** (217) 553-8966

## Contact information

- **Practice address:** 3 ERIE CT, OAK PARK, IL 60302-2519
- **Practice address phone:** (708) 383-6200
- **Mailing address:** PO BOX 809083, CHICAGO, IL 60680-9083
- **Mailing address phone:** (800) 516-5315
- **Mailing address fax:** (517) 787-7365

## 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:** 06/23/2020
- **Last updated:** 06/26/2020