Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacksonville Crnas Inc

Organization Anesthesiology Physician · NPI 1821302068

Jacksonville Crnas Inc is an Anesthesiology Physician in Jacksonville, Illinois. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 W Walnut St
Jacksonville, IL 62650-1136
Phone: (217) 245-9541
Fax: (217) 479-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1821302068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Bolen — Vice President & Cfo · (217) 245-9541
NPI enumeratedJuly 29, 2010
Last updated in NPPESJuly 31, 2013
Mailing address1600 W Walnut St, Jacksonville, IL 62650-1136

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