Active NPI
Adekunle Adesuyi, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN582611
- Practice address
- 5645 W Addison St
Chicago, IL 60634-2881 - Phone
- (773) 282-7000
- NPI assigned
- Apr 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN582611 | PA | Primary |
Addresses
Primary practice location
5645 W Addison St
Chicago, IL 60634-2881
Mailing address
1412 W Division St Apt 3
Chicago, IL 60642-3323
Phone (847) 858-5276
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Chicago |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
Hospital & facility affiliations
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Town Square Anesthesia LLC | Current | Accepting new patients | |
| Huntley Anesthesia Associates LLC | Current | Accepting new patients |
Locations
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1205282019
-
- Anesthesiology Physician
- Woodstock, IL
- NPI 1669471017
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1073757803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 W DIVISION ST APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606423323",
"telephone_number": "847-858-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342881",
"telephone_number": "773-282-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADESUYI",
"first_name": "ADEKUNLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-23",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN582611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Chicago",
"affiliation": "N",
"address_1": "5645 W Addison St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606342881",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.