Individual provider Active NPI

Jeffrey J. Ryan, CRNA

  • Certified Registered Nurse Anesthetist
  • Joliet, IL
National Provider Identifier
1114264462
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209.010063 Issued in IL
Practice address
1200 Maple Rd
Joliet, IL 60432-1439
Phone
(815) 740-1100
NPI assigned
Jan 7, 2013
Last updated
Jan 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209.010063 IL Primary

Addresses

Primary practice location

1200 Maple Rd
Joliet, IL 60432-1439

Mailing address

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000846 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537309356 Reassigns benefits to 10 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.010063ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Lenox Anesthesia LLC CurrentSince Jan 26, 2020 Accepting new patients
Ias Illinois PC CurrentSince Mar 21, 2025 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Apr 3, 2017 Accepting new patients
Amsurg Oak Lawn Il Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2018 Accepting new patients
Elite Anesthesia Providers, LTD Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2024 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Apr 3, 2017 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Mar 19, 2013 Accepting new patients
Anesthesia Associates, LTD CurrentSince Sep 5, 2018 Accepting new patients
Anesthesia Consultants of Morris CurrentSince Aug 12, 2019 Accepting new patients
Deerpath Ambulatory Surgical Center, LLC Past Accepting new patients

Locations

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

1301 Copperfield Ave
Joliet, IL 60432
Phone (815) 726-6611

19110 Darvin Dr
Mokena, IL 60448
Phone (708) 478-8889

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

1003 Pawlak Pkwy
New Lenox, IL 60451
Phone (708) 226-3300

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

678 Cedar Crossings Dr
New Lenox, IL 60451
Phone (708) 499-5678

9921 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 425-2552

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

100 5th St
Oswego, IL 60543
Phone (630) 449-0085

7340 W College Dr
Fl 1
Palos Heights, IL 60463
Phone (708) 361-3233

1302 N Main St
Sandwich, IL 60548
Phone (815) 486-8484

2120 Midlands Ct
Sycamore, IL 60178
Phone (815) 748-0393

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1114264462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAPLE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321439",
            "telephone_number": "815-740-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JEFFREY",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.010063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.