Daniel Connolly, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Chicago, IL
NPI 1972933372 · NPPES record last updated Jul 26, 2016
Key facts
- NPI
- 1972933372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209.010854 (IL)
- Practice address
- 2233 W Division St
Chicago, IL 60622-8151 - Phone
- (312) 770-2172
- NPI assigned
- Nov 21, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vigilance Anesthesiologists and Pain Specialists PC
Practice addresses (Care Compare)
200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841
Hospital & facility affiliations
- Iroquois Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131212001712 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0648407999 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.010854 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
7447 W Talcott Ave
Ste 451
Chicago, IL 60631
Phone (773) 763-3990
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
1541 Riverboat Center Dr
Joliet, IL 60431
Phone (815) 409-4700
5851 W 95th St
Oak Lawn, IL 60453
Phone (708) 574-6143
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.010854 | IL | Yes |
Addresses
Primary practice location
2233 W Division St
Chicago, IL 60622-8151
Mailing address
8378 Dunmore Dr
Tinley Park, IL 60487-4496
Phone (630) 254-9624
Other providers in Chicago, IL
- Connex Global Solutions
- Connexions 2 Wellness Solutions LLC
- Bridget Conniff
- Taylor Connington
- Julie Connley
- Erin Connolly
- John E Connolly
- Kelly Lynn Connolly
- Kristen Connolly
- Mark M. Connolly
All providers in Chicago, 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 Jul 26, 2016. 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.