Ryan Thomas Maccracken
Ryan Thomas Maccracken is a Certified Registered Nurse Anesthetist (CRNA) in Frankfort, Illinois. Qualified in 2023, 3 years ago. Practices with Premier Anesthesia of Illinois Professional Corporation, a 40-clinician group. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
108 Larch RdFrankfort, IL 60423-1513
Phone: (815) 823-4108
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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 209027569 (IL) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 041462258 (IL) |
Record details
| NPI number | 1609546324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 14, 2021 |
| Last updated in NPPES | September 25, 2023 |
| Certification date | September 25, 2023 |
| Mailing address | 108 Larch Rd, Frankfort, IL 60423-1513 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Premier Anesthesia Of Illinois Professional Corporation — 40 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Frankfort
-
Bertrand D Chauff, CRNA
21120 Washington Pkwy, Frankfort, IL 60423-3112 · (815) 469-9750
-
Tiffany Richardson, CRNA
21120 Washington Pkwy, Frankfort, IL 60423-3112 · (815) 469-9750
-
Robert Wilkins
481 Pleasant Hill Rd, Frankfort, IL 60423-1265 · (217) 417-2849