Provider Demographics
NPI:1326254939
Name:RIVER NORTH ANESTHESIA CONSULTANTS ,S.C.
Entity Type:Organization
Organization Name:RIVER NORTH ANESTHESIA CONSULTANTS ,S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RADHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-853-8388
Mailing Address - Street 1:225 NORTH COLUMBUS DRIVE
Mailing Address - Street 2:UNIT # 6005
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5259
Mailing Address - Country:US
Mailing Address - Phone:630-853-8388
Mailing Address - Fax:630-230-0721
Practice Address - Street 1:SAME DAY SURGERY,ONE EAST ERIE
Practice Address - Street 2:SUITE 300
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-649-3939
Practice Address - Fax:312-649-5747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036064349207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric AnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2233361OtherBCBS GROUP#
ILE18574Medicare UPIN
IL215536Medicare PIN