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

Ryan Lustenberger, MD

Individual provider Anesthesiology Physician · NPI 1215223714

Ryan Lustenberger, MD is an Anesthesiology in Palos Heights, Illinois. Qualified in 2011, 15 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12251 S 80th Ave
Palos Heights, IL 60463-1256
Phone: (708) 923-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036134590 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 125059189 (IL)

Record details

NPI number1215223714
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address12251 S 80th Ave, Palos Heights, IL 60463-1256

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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