Premier Anesthesia of Illinois Professional Corporation
Premier Anesthesia of Illinois Professional Corporation is an Oral & Maxillofacial Surgery (D.M.D.) in Kankakee, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 7
Practice location Address checks out
375 N Wall StKankakee, IL 60901-3483
Phone: (855) 369-7546
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X |
|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X |
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X |
| Pediatric Anesthesiology Physician | Taxonomy 207LP3000X |
| Pain Medicine Physician | Taxonomy 208VP0000X |
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X |
Record details
| NPI number | 1932089778 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randy Walker — Vp · (678) 690-7812 |
| NPI enumerated | September 3, 2025 |
| Last updated in NPPES | September 3, 2025 |
| Certification date | September 3, 2025 |
| Mailing address | 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 |