PREMIER ANESTHESIA OF ILLINOIS PROFESSIONAL CORPORATION
NPI 1932089778
Anesthesiology in Kankakee, IL

Active since September 03, 2025
375 N WALL ST, KANKAKEE, IL 60901(855) 369-7546 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Anesthesia Of Illinois Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER ANESTHESIA OF ILLINOIS PROFESSIONAL CORPORATION (NPI 1932089778) is a healthcare organization registered as an anesthesiology in Kankakee, Illinois and active in the NPI registry since September 2025. The organization lists Randy Walker, Vp, as its authorized official.

NPPES Registry Identity

NPI1932089778
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NamePREMIER ANESTHESIA OF ILLINOIS PROFESSIONAL CORPORATION
Location Address375 N WALL STKankakee, IL 60901-3483
Mailing Address2655 Northwinds PkwyAlpharetta, GA 30009-2280
Organization SubpartNo
Authorized OfficialRandy WalkerVp · (678) 690-7812
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1932089778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
375 N WALL ST, Kankakee, IL 60901

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Anesthesia Of Illinois Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Premier Anesthesia Of Illinois Professional Corporation, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)36
Anesthesiology16

Nearest to this location (20)

See all 52
Anesthesiology
NPI 1710967955
350 N WALL ST DEPT OF ANESTHESESIA
Kankakee, IL 60901
(815) 933-1671
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134149479
350 N WALL ST
Kankakee, IL 60901
(815) 933-1671
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467636563
350 N WALL ST DEPT OF ANESTHESIA
Kankakee, IL 60901
(815) 933-1671
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326191636
350 N WALL ST
Kankakee, IL 60901
(815) 993-1671
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134348824
350 N WALL ST
Kankakee, IL 60901
(800) 444-6110
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689828360
350 N WALL ST
Kankakee, IL 60901
(815) 933-1671
✔ PECOS0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1518686047
350 N WALL ST
Kankakee, IL 60901
(800) 475-6236
✔ PECOS0.1 mi
Anesthesiology
NPI 1679794119
350 N WALL ST
Kankakee, IL 60901
(815) 933-1671
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750704797
350 N WALL ST DEPT OF ANESTHESIA
Kankakee, IL 60901
(815) 933-1671
✔ PECOS0.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235675620
8946 N 12000E RD
Grant Park, IL 60940
(708) 519-0581
✔ PECOS15 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609546324
108 LARCH RD
Frankfort, IL 60423
(815) 823-4108
✔ PECOS26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588496756
870 WILDWOOD DR
New Lenox, IL 60451
(815) 351-1627
✔ PECOS26 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629625967
20201 CRAWFORD AVE
Olympia Fields, IL 60461
(708) 747-4000
✔ PECOS29 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851153449
1900 SILVER CROSS BLVD
New Lenox, IL 60451
(815) 300-1100
✔ PECOS29 mi
Anesthesiology
NPI 1982192563
1900 SILVER CROSS BLVD
New Lenox, IL 60451
(815) 300-7910
✔ PECOS30 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1942892385
23230 S FORD RD
Minooka, IL 60447
(815) 981-0175
✔ PECOS30 mi
Anesthesiology
NPI 1053365932
1125 WILLOWBROOK DR
Schererville, IN 46375
(219) 218-8567
✔ PECOS34 mi
Anesthesiology
NPI 1215223714
12251 S 80TH AVE
Palos Heights, IL 60463
(708) 923-4000
✔ PECOS38 mi
Anesthesiology
NPI 1588015416
329 REMINGTON BLVD STE 205
Bolingbrook, IL 60440
(630) 226-1130
✔ PECOS40 mi
Anesthesiology
NPI 1164719050
5841 S MARYLAND AVE
Chicago, IL 60637
(773) 702-1000
✔ PECOS✔ Accepts Medicare48 mi
See all 52 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Anesthesia Of Illinois Professional Corporation's NPI number?

The NPI number for Premier Anesthesia Of Illinois Professional Corporation is 1932089778. It was assigned to this organization in the NPPES registry on September 3, 2025.

Where is Premier Anesthesia Of Illinois Professional Corporation located?

Premier Anesthesia Of Illinois Professional Corporation is located at 375 N Wall St, Kankakee, IL 60901. The listed phone number is (855) 369-7546.

What is Premier Anesthesia Of Illinois Professional Corporation's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Premier Anesthesia Of Illinois Professional Corporation enrolled in Medicare?

Yes. Premier Anesthesia Of Illinois Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Anesthesia Of Illinois Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 2 Medicare specialties reassign their Medicare billing to Premier Anesthesia Of Illinois Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (36) and Anesthesiology (16). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Anesthesia Of Illinois Professional Corporation was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.