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

University Anesthesiologists SC

Organization Certified Registered Nurse Anesthetist · NPI 1104202480

University Anesthesiologists SC is a Certified Registered Nurse Anesthetist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone: (312) 942-3135
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 041366223 (IL)

Record details

NPI number1104202480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Goodman — President · (224) 231-4363
NPI enumeratedAugust 10, 2015
Last updated in NPPESAugust 10, 2015
Mailing addressPo Box 6350, Chicago, IL 60680-6350

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