Samantha J O'Neill

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209030287 Issued in IL

Practice address

17037 W 143Rd St
Lockport, IL 60441-9424

Phone

(708) 307-9268

NPI assigned

Aug 22, 2021

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Anesthesia Providers, LTD

  • Anesthesiology Physician
  • Mokena, IL
  • NPI 1679258388

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1811663529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17037 W 143RD ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604419424",
            "telephone_number": "708-307-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17037 W 143RD ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604419424",
            "telephone_number": "708-307-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209030287",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.455656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S Nolan, CPNP
• Northwest Homer Fire Protection
• Jessica Nosalik
• Jennifer S O'Boyle, PA
• Danielle O'Connell
• Occusport Services Inc.
• Opeyemi Oluwadiya
• One Family Illinois
• Jeffrey R. Onik, DMD
• Kathleen Ryan Opon, MSW, LCSW

• Certified Registered Nurse Anesthetist in Lockport, IL
• Providers in Lockport, 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 Aug 5, 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.