Provider Demographics
NPI:1649685751
Name:STRATEGY ANESTHESIA ILLINOIS
Entity type:Organization
Organization Name:STRATEGY ANESTHESIA ILLINOIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KASHIF
Authorized Official - Middle Name:
Authorized Official - Last Name:IRFAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-665-3046
Mailing Address - Street 1:19644 CLUB HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-3047
Mailing Address - Country:US
Mailing Address - Phone:703-665-3046
Mailing Address - Fax:
Practice Address - Street 1:6900 S MADISON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-5510
Practice Address - Country:US
Practice Address - Phone:630-325-8684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty