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

Timothy Michael Dolan, CRNA

Individual provider Registered Nurse · NPI 1932653516

Timothy Michael Dolan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Loves Park, Illinois. Qualified in 2016, 10 years ago. Practices with Rockford Anesthesiologists Associated LLC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
10
Licensed in
IL, WI
In the registry since
2016
Specialties on file
3
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

2202 Harlem Rd Ste 200
Loves Park, IL 61111-2754
Phone: (815) 877-4848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Medical Center Dr, Galena, IL 61036-8118 — (815) 777-1340

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209014799 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041327743 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 197396-30 (WI)

Record details

NPI number1932653516
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 11, 2016
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024
Mailing address8575 Yellowstone Dr, Byron, IL 61010-9769

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Rockford Anesthesiologists Associated Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Loves Park