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

Roseland Community Hospital Association

Organization Anesthesiology Physician · NPI 1306029889

Roseland Community Hospital Association is an Anesthesiology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
13

Practice location Address checks out

45 W 111th St
Chicago, IL 60628-4200
Phone: (773) 995-3000
Fax: (773) 995-6602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X
Anesthesiology Physician Taxonomy 207L00000X
Internal Medicine Physician Taxonomy 207R00000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Taxonomy 2083P0011X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Surgery Physician Taxonomy 208600000X · Licence 036117915 (IL)
General Practice Physician Taxonomy 208D00000X
Pain Medicine Physician Taxonomy 208VP0000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1306029889
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRoseland Community Hospital Association
Authorized official Robert Vais — Chief Financial Officer · (773) 995-3000
Other names Roseland Community Hospital
NPI enumeratedDecember 7, 2007
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address45 W 111th St, Chicago, IL 60628-4294

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