Provider Demographics
NPI:1396700738
Name:SAURI, ANNE M (DNP, CRNA)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:SAURI
Suffix:
Gender:F
Credentials:DNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:#168
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3667
Mailing Address - Country:US
Mailing Address - Phone:847-472-2145
Mailing Address - Fax:
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3361
Practice Address - Country:US
Practice Address - Phone:847-472-2145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN295672367500000X
IL209006140367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2640075Medicaid
ILP01080494OtherRAILROAD MEDICARE
ILP01080494OtherRAILROAD MEDICARE
IL210277002Medicare PIN