Provider Demographics
NPI:1982182911
Name:MIDWEST ANESTHESIA & PAIN CONSULTANTS PC
Entity Type:Organization
Organization Name:MIDWEST ANESTHESIA & PAIN CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ULANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SONEVYTSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-372-2419
Mailing Address - Street 1:233 BARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-9780
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:233 BARBERRY LN
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-9780
Practice Address - Country:US
Practice Address - Phone:847-372-2419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty