Active NPI
Jeremy Lenich, CRNA
- Certified Registered Nurse Anesthetist
- Plainfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209030028
- Practice address
- 14738 S Penn Rd
Plainfield, IL 60544-2828 - Phone
- (312) 765-3380
- NPI assigned
- Aug 26, 2022
- Last updated
- Mar 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209030028 | IL | Primary |
| Registered Nurse | 163W00000X | 041437215 | IL |
Addresses
Primary practice location
14738 S Penn Rd
Plainfield, IL 60544-2828
Mailing address
14738 S Penn Rd
Plainfield, IL 60544-2828
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
- R Franklin University of Med & Sci/Chicago Medical School, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2750 S River Rd
Des Plaines, IL 60018-4103
Phone (847) 470-8740
350 N Wall St
Kankakee, IL 60901-2901
Phone (855) 369-7546
645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 626-4300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209030028 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novus Illinois Service Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arete Anesthesia LLC | Current | Accepting new patients | |
| Premier Anesthesia of Illinois Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
300 Riverside Dr
Ste 1100
Bourbonnais, IL 60914
Phone (815) 802-3170
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
2750 S River Rd
Des Plaines, IL 60018
Phone (708) 273-3052
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Des Plaines, IL
- NPI 1801336870
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1295491744
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1932089778
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1386363810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14738 S PENN RD",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14738 S PENN RD",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442828",
"telephone_number": "312-765-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENICH",
"first_name": "JEREMY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-26",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209030028",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041437215",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.