Individual provider Active NPI

Stephanie Anzelc

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1184219164
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209023505 Issued in IL
Practice address
5645 W Addison St
Chicago, IL 60634-4403
Phone
(773) 282-7000
NPI assigned
Mar 2, 2021
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 209023505 IL Primary

Addresses

Primary practice location

5645 W Addison St
Chicago, IL 60634-4403

Mailing address

PO Box 75098
Chicago, IL 60675-5098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916001621 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123425279 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
R Franklin University of Med & Sci/Chicago Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Brook Anesthesiologists LTDGroup PAC ID 3870554298, 20 clinicians
Gip Anesthesia Services PLLCGroup PAC ID 4688043177, 7 clinicians
Town Square Anesthesia LLCGroup PAC ID 9335047455, 21 clinicians

Practice addresses (Care Compare)

1800 McDonough Rd
Suite 100
Hoffman Estates, IL 60192-4524
Phone (847) 742-7272

22285 N Pepper Rd
Suite 312
Lake Barrington, IL 60010-2541
Phone (847) 382-4410

5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntley Anesthesia Associates LLC CurrentSince Aug 1, 2021 Accepting new patients
Town Square Anesthesia LLC CurrentSince Aug 1, 2021 Accepting new patients
George N Atia, M.D., S.C. CurrentSince Sep 1, 2024 Accepting new patients
Gip Anesthesia Services PLLC CurrentSince Jul 1, 2024 Accepting new patients
Oak Brook Anesthesiologists, LTD. CurrentSince Jul 7, 2022 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered PastSince Sep 1, 2024 Accepting new patients

Locations

1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000

200 Fox Gln
Barrington, IL 60010
Phone (847) 382-7165

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

5744 N Broadway St
Chicago, IL 60660
Phone (312) 335-0180

999 E Touhy Ave
Ste 350
Des Plaines, IL 60018
Phone (224) 725-5850

4333 Main St
Downers Grove, IL 60515
Phone (630) 322-9451

1800 McDonough Rd
Ste 100
Hoffman Estates, IL 60192
Phone (630) 928-1103

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

22285 N Pepper Rd
Lake Barrington, IL 60010
Phone (224) 357-8133

22285 N Pepper Rd
Ste 312
Lake Barrington, IL 60010
Phone 84738206793336

1880 W Winchester Rd
Ste 104
Libertyville, IL 60048

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 928-1103

1S210 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 282-6000

3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

Organizations & group practices 6

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1184219164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75098",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755098"
        },
        {
            "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": "606344403",
            "telephone_number": "773-282-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANZELC",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209023505",
            "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 Sep 2, 2021; 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.

Verify at the official NPI Registry.