Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Square Anesthesia PC

Organization Anesthesiology Physician · NPI 1629194113

Logan Square Anesthesia PC is an Anesthesiology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3538 W Fullerton Ave
Chicago, IL 60647-2443
Phone: (773) 772-1212
Fax: (773) 772-8666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X (IL)

Record details

NPI number1629194113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramon Garcia — President · (773) 772-1212
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 249, Winnetka, IL 60093-0249

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