Steve Fankam, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209023285 Issued in IL

Practice address

12251 S 80TH Ave
Palos Heights, IL 60463-1290

Phone

(708) 923-3936

Fax

(708) 923-8848

NPI assigned

Apr 7, 2021

Last updated

Oct 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians

Vital Health Partners LLCGroup PAC ID 5092205732, 74 clinicians

Gottlieb Community Health Services CorporationGroup PAC ID 3375442999, 42 clinicians

St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians

Roseland Community Hospital AssociationGroup PAC ID 8325936644, 9 clinicians

Novus Illinois Service CorporationGroup PAC ID 6901293786, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
• Loretto Hospital Hospital, Chicago, IL, CCN 140083

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

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.

• Gottlieb Community Health Services Corporation

  • General Practice Physician
  • Berwyn, IL
  • NPI 1013415603
  Medicare reassignment Care Compare group NPD
• Novus Illinois Service Corporation

  • Anesthesiology Physician
  • Kankakee, IL
  • NPI 1295491744

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Roseland Community Hospital Association

  dba Roseland Community Hospital

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1306029889

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• St Bernard Hospital

  dba St. Bernard Anesthesia Group

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1629147210
  Medicare reassignment Care Compare group NPD
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289
  Medicare reassignment Care Compare group NPD
• Vital Health Partners LLC

  • Hospitalist Physician
  • Miami Lakes, FL
  • NPI 1043101207

  IL

  Medicare reassignment Care Compare group NPD
• Clinical Colleagues LLC

  • Anesthesiology Physician
  • Galesburg, IL
  • NPI 1316399967

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Elmhurst Anesthesiologists, PC

  • Anesthesiology Physician
  • Elmhurst, IL
  • NPI 1376586610
  Medicare reassignment NPD
• G & G Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Maryville, IL
  • NPI 1487020111

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Guardian Anesthesia Associates, S.C

  • Interventional Pain Medicine Physician
  • Aurora, IL
  • NPI 1326097221
  Medicare reassignment NPD
• Loyola Medical Group LLC

  • General Practice Physician
  • Berwyn, IL
  • NPI 1376041954
  Medicare reassignment NPD
• North American Partners in Anesthesia (Illinois), LLC

  • Anesthesiology Physician
  • Springfield, IL
  • NPI 1699032524
  Medicare reassignment NPD

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

• Loretto Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1447280284
  Care Compare affiliation
• Waukegan Illinois Hospital Company LLC

  dba Vista Medical Center East

  • General Acute Care Hospital
  • Waukegan, IL
  • NPI 1639120694
  Care Compare affiliation

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1255910014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-3936",
            "fax_number": "708-923-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-3936",
            "fax_number": "708-923-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANKAM",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209023285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfankam234858@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12251 S 80th Ave",
            "city": "Palos Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604631290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard N Facko, DDS
• Christopher R Fagan, MD
• Amanda F Fakhouri, DPT
• Serene Ann Fakhoury, OD
• Akbar Fakhri, M.D.
• Lauren Alexandra Farina, MD
• Christopher L Farley, MD
• Zubia Farooqui, PHARMD
• Leah Delores Farr-Fields, LPC
• Andrew Patrick Farrell

• Certified Registered Nurse Anesthetist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.