Healthcare Provider Details

I. General information

NPI: 1437935509
Provider Name (Legal Business Name): SUNNY RANA CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N GREEN BAY RD DEPARTMENT OF NURSE ANESTHESIA
NORTH CHICAGO IL
60064
US

IV. Provider business mailing address

3333 N GREEN BAY RD DEPARTMENT OF NURSE ANESTHESIA
NORTH CHICAGO IL
60064
US

V. Phone/Fax

Practice location:
  • Phone: 973-928-9944
  • Fax:
Mailing address:
  • Phone: 973-928-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberC-APN.0104502-C-CRNA
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1213332
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number26NR16346200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: