Active NPI
Daniel W. Borvan, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209003563
- Practice address
- 2233 W Division St
Chicago, IL 60622-3043 - Phone
- (312) 770-2000
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209003563 | IL | Primary |
Addresses
Primary practice location
2233 W Division St
Chicago, IL 60622-3043
Mailing address
328 E Lincoln Hwy
New Lenox, IL 60451-1849
Phone (815) 462-8470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NE, WI
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21120 Washington Pkwy
Frankfort, IL 60423-3112
Phone (815) 469-9750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Omaha Surgical Center LLC | Current | Accepting new patients | |
| Metro Milwaukee Anesthesia Associates SC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Windy City Anesthesia, PC | Past | Accepting new patients | |
| Deerpath Ambulatory Surgical Center, LLC | Past | Accepting new patients | |
| Allied Anesthesia Associates, P.C. | Past | Accepting new patients |
Locations
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
3201 S 24th St
Omaha, NE 68108
Phone (402) 345-9132
850 Geneva Pkwy N
Lake Geneva, WI 53147
Phone (262) 299-6199
15324 W Beloit Rd
Ste 300A
New Berlin, WI 53151
Phone (414) 761-0981
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
-
- Certified Registered Nurse Anesthetist
- Brookfield, WI
- NPI 1609130228
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1558884072
-
- Ambulatory Surgical Clinic/Center
- Omaha, NE
- NPI 1942697735
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1114254141
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
-
- Ambulatory Surgical Clinic/Center
- Morris, IL
- NPI 1215040464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962404442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 E LINCOLN HWY",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604511849",
"telephone_number": "815-462-8470",
"fax_number": "815-462-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223043",
"telephone_number": "312-770-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORVAN",
"first_name": "DANIEL",
"middle_name": "W.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209003563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.