Michael Agnich, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · New Lenox, IL
NPI 1922010933 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1922010933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209000590 (IL)
- Practice address
- 1210 Crown Fox LN
New Lenox, IL 60451-1205 - Phone
- (815) 320-3086
- Fax
- (815) 464-1767
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elite Anesthesia Providers LTD
Practice addresses (Care Compare)
19110 Darvin Dr
Suite a
Mokena, IL 60448-8683
Phone (708) 478-8889
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040405000967 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9931192135 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-000590 | IL | MD | Anesthesiology Physician |
| 209000590 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current |
Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current |
Accepting new patients |
| Midwest Anesthesia Providers S.C | Anesthesiology | Current |
Accepting new patients |
| Elite Anesthesia Providers, LTD | Anesthesiology | Current |
Accepting new patients |
| Otolaryngology Associates of Northwest Indiana LLC | Past | Accepting new patients | |
| Zubair Cosmetic Gynecology and Medspa | Past |
Accepting new patients | |
| American Surgeons Group Inc | Past |
Accepting new patients | |
| Anesthesia Consultants of Indiana, LLC | Anesthesiology | Past | Accepting new patients |
| Carepointe, P.C. | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
19110 Darvin Dr
Mokena, IL 60448
Phone (708) 478-8889
19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889
3 N Washington St
Naperville, IL 60540
Phone (630) 357-6540
720 Brom Ct
Ste 201
Naperville, IL 60540
Phone (331) 330-8559
1003 Pawlak Pkwy
New Lenox, IL 60451
Phone (708) 226-3300
7340 W College Dr
Palos Heights, IL 60463
Phone (708) 361-3233
10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
1025 S 6th St
Springfield, IL 62703
18200 La Grange Rd
Tinley Park, IL 60487
Phone (708) 570-2490
2211 Main St
Ste 1A
Highland, IN 46322
Phone (219) 836-2201
9410 Calumet Ave
Ste 104
Munster, IN 46321
Phone (219) 440-2505
9200 Calumet Ave
Ste N300
Munster, IN 46321
Phone (219) 273-2570
Interoperability endpoints
- michael.agnich.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209000590 | IL | Yes |
| Anesthesiology Physician | 207L00000X | 209-000590 | IL |
Addresses
Primary practice location
1210 Crown Fox LN
New Lenox, IL 60451-1205
Mailing address
PO Box 367
Frankfort, IL 60423-0367
Phone (815) 320-3086
Other practice location 1
1025 S 6th St
Springfield, IL 62703-2499
Phone (217) 528-7541
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9932061 | Other | IL | BLUE CROSS BLUE SHIELD |
| 430075461 | Other | IL | RAILROAD MEDICARE |
Other providers in New Lenox, IL
- Advanced Midwest Interventional Radiology, LLC
- Advanced Midwest Radiology S C
- Advantage Speech Therapy Solutions, LLC
- Affinity Healthcare and Wellness PLLC
- Angela Agnich
- Wakas Ahmad
- Imran Akhtar
- Omar Akhtar
- Mohammad Awad Al Khudari
- Tawakalit F Alao
All providers in New Lenox, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.