# ILLINOIS ANESTHESIA SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1740642321
- **Authorized official:** MELISSA M RICE (ADMINISTRATOR)
- **Authorized official phone:** (224) 500-3339

## Contact information

- **Practice address:** 1644 E 53RD ST, CHICAGO, IL 60615-4210
- **Practice address phone:** (773) 752-6340
- **Mailing address:** 9680 GOLF RD, DES PLAINES, IL 60016-1522
- **Mailing address phone:** (630) 410-7700
- **Mailing address fax:** (773) 409-5101

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2016
- **Last updated:** 08/11/2021