Active NPI
Ryan Thomas Dunn, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209010689
- Practice address
- 4646 N. Marine Dr
Chicago, IL 60640 - Phone
- (773) 878-8700
- Fax
- (708) 783-0920
- NPI assigned
- Sep 10, 2013
- 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 | 209010689 | IL | Primary |
Addresses
Primary practice location
4646 N. Marine Dr
Chicago, IL 60640
Mailing address
3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2921
Phone (703) 295-9360
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8200
2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
Hospital & facility affiliations
- Humboldt Park Health
- Osf Little Company of Mary Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209010689 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 1
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
- Oak Park, IL
- NPI 1699032524
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1972594877
-
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1114352010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DR",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332921",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 N. MARINE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-878-8700",
"fax_number": "708-783-0920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "RYAN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-10",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209010689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 20, 2015; 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.