Organization · Type 2 NPI

Premiere Anesthesia Group LLC

Certified Registered Nurse Anesthetist · Park Ridge, IL

NPI number 1720467392 Active

Practice location

605 S Lincoln Ave
Park Ridge, IL 60068-4506

Mailing address

5127 Highway 17
Murrells Inlet, SC 29576-5045

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X209010019 (IL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1720467392

Premiere Anesthesia Group LLC's National Provider Identifier is 1720467392, issued on May 28, 2015. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Park Ridge, IL. The record was last updated on Aug 21, 2026.