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

Kenneth C Leeberg, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1093172132

Kenneth C Leeberg, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Flossmoor, Illinois. Qualified in 2015, 11 years ago. Practices with Ias Illinois PC, a 81-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

19624 Governors Hwy
Flossmoor, IL 60422-2077
Phone: (708) 798-5838
Fax: (708) 798-5865
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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 · Licence 209013780 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 041395579 (IL)

Record details

NPI number1093172132
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 20, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ias Illinois Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Flossmoor