# GOLD COAST ANESTHESIA PLLC

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

## Provider details

- **NPI number:** 1629748181
- **Authorized official:** SHAWN KUMAR MD (OWNER)
- **Authorized official phone:** (248) 342-6480

## Contact information

- **Practice address:** 2335 W FULLERTON AVE, CHICAGO, IL 60647-3225
- **Practice address phone:** (347) 927-4037
- **Practice address fax:** (248) 621-5219
- **Mailing address:** 301 W GRAND AVE UNIT 324, CHICAGO, IL 60654-4640
- **Mailing address phone:** (312) 724-9001
- **Mailing address fax:** (312) 319-2597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2021
- **Last updated:** 01/14/2026