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

Mr. John Marc Provenzano, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1437129335

Mr. John Marc Provenzano, CRNA is a Certified Registered Nurse Anesthetist in Chicago, Illinois. Licensed in Illinois and North Carolina. Registered with an NPI since 2006.

Licensed in
IL, NC
In the registry since
2006
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

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone: (773) 702-6700
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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 6183 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209001255 (IL)

Record details

NPI number1437129335
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 24, 2006
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

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