NPIMap

Organization Active NPI

Premiere Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Park Ridge, IL
National Provider Identifier
1720467392
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209010019 Issued in IL
Legal business name
PREMIERE ANESTHESIA GROUP LLC
Practice address
605 S Lincoln Ave
Park Ridge, IL 60068-4506
Phone
(847) 208-0353
NPI assigned
May 28, 2015
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Mr. Bertrand D Chauff, CRNANPI 1588908404
Title
Owner
Phone
(847) 208-0353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209010019 IL Primary

Addresses

Primary practice location

605 S Lincoln Ave
Park Ridge, IL 60068-4506

Mailing address

5127 Highway 17
Murrells Inlet, SC 29576-5045
Phone (843) 651-2624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150615001464 IL Part B Supplier - Clinic/Group Practice 6608187810 Receives reassigned benefits from 43 practitioners
Practice locations: South Barrington, IL; Willowbrook, IL; Wheeling, IL; Vernon Hills, IL; Schaumburg, IL; Rockford, IL; Park Ridge, IL; Northbrook, IL…

National Provider Directory

National Provider Directory

Locations

1100 W Central Rd
Ste 102
Arlington Hts, IL 60005
Phone (847) 259-3080

7230 W North Ave
Ste 106A
Elmwood Park, IL 60707

1300 N Arlington Heights Rd
Ste 150
Itasca, IL 60143
Phone (630) 634-2980

62 63rd St
Willowbrook, IL 60527
Phone (630) 887-9221

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1720467392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765045",
            "telephone_number": "843-651-2624",
            "fax_number": "843-491-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S LINCOLN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684506",
            "telephone_number": "847-208-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "CHAUFF",
        "authorized_official_first_name": "BERTRAND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-208-0353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209010019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.