Individual provider Active NPI

Christian Q Villasenor, CRNA

  • Certified Registered Nurse Anesthetist
  • Olympia Fields, IL
National Provider Identifier
1194775957
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209004510 Issued in IL
Practice address
20201 S Crawford Avenue
Olympia Fields, IL 60461-1010
Phone
(708) 326-1637
Fax
(708) 326-1671
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 99015186A IN
Certified Registered Nurse Anesthetist 367500000X 209004510 IL Primary

Addresses

Primary practice location

20201 S Crawford Avenue
Olympia Fields, IL 60461-1010

Mailing address

35777 Eagle Way
Chicago, IL 60678-1357
Phone (708) 503-1637

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cvillasenor229592@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041201000516 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921063975 Reassigns benefits to 5 organizations
I20130417000104 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921063975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Midwest Anesthesiologists LTDGroup PAC ID 0547165524, 26 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

17800 S Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 799-8000

2320 E 93Rd St
Chicago, IL 60617-3909
Phone (773) 967-2000

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 312-5000

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-1200

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304
  • Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
  • Advocate Trinity Hospital Hospital, Chicago, IL, CCN 140048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99015186AINMDSpecialist
209004510ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Loyola Medical Group LLC CurrentSince May 1, 2023 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Jul 19, 2023 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Jul 19, 2023 Accepting new patients
Midwest Anesthesiologists, LTD. CurrentSince Mar 1, 2011 Accepting new patients
Northstar Anesthesia of Indiana II, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2021 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2013 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Feb 1, 2017 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Sep 30, 2017 Accepting new patients
Madison Avenue Anesthesia Placement Services Past Accepting new patients
MN Anesthesia LLC Past Accepting new patients
Rush University Medical Center Past Accepting new patients

Locations

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

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

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

3407 Momentum Pl
Chicago, IL 60689

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000

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

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1194775957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35777 EAGLE WAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606781357",
            "telephone_number": "708-503-1637",
            "fax_number": "708-326-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 S CRAWFORD AVENUE",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-326-1637",
            "fax_number": "708-326-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLASENOR",
        "first_name": "CHRISTIAN",
        "middle_name": "Q",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "99015186A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209004510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvillasenor229592@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20201 S Crawford Avenue",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.