| Organization Name: | NORTHLAKE MEDICAL CENTER LLC |
| NPI Number: | 1225393234 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GIRI RAO (OWNER) |
| Mailing Address: | 161 E North Ave Northlake |
| State: | IL US |
| Postal Code: | 601642523 |
| Phone Number: | 7084505000 |
| Fax Number: | 7084505055 |
| NPI Enumeration Date: | 07/06/2012 |
| NPI Last Update Date: | 07/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | 036070313 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |