MARYELLEN KILKENNY CRNA
NPI 1639222557
Nurse Anesthetist, Certified Registered in Olympia Fields, IL
NPI Status: Active since January 22, 2007
Contact Information
20201 CRAWFORD AVE
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (708) 503-3857
Fax: (708) 503-3806
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Female
- Nurse Anesthetist, Certified Registered
About MARYELLEN KILKENNY
This page provides the complete NPI Profile along with additional information for Maryellen Kilkenny, a provider established in Olympia Fields, Illinois with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1639222557 assigned on January 2007. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an individual and her NPI record was last updated September 2025.
- NPI
- 1639222557
- Provider Name
- MARYELLEN KILKENNY CRNA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461
- Location Phone
- (708) 503-3857
- Location Fax
- (708) 503-3806
- Mailing Address
- 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461
- Mailing Phone
- (708) 503-3857
- Mailing Fax
- (708) 503-3806
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-22-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- IL
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | (IL) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 2 | 2 | 2 | 5 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 2 | 4 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 2 + 4 + 5 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1639222557 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124021266 | ALVERNO LAKESIDE CORPORATION Organization | Ambulance | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 756-1200 |
| 1851384754 | KALISHA ASHARA HILL MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 20201 CRAWFORD AVE ST JAMES HOSPITAL OLYMPIA FIELDS CAMPUS OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1295728194 | JOHN NICHOLAS KASIMOS DO Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 20201 CRAWFORD AVE ST JAMES HOSPITAL OLYMPIA FIELDS CAMPUS OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1477524155 | MR. QUINN M BIGGS MPH Individual | Psychologist (Health Service) | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1942279252 | MARTHA A KELLEY D.O. Individual | Emergency Medicine | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1790732949 | DR. BRIAN REES HAAG M.D. Individual | Emergency Medicine | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1023059748 | SAMUEL L MACAGBA JR. MD Individual | Anesthesiology | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 503-3857 |
| 1972547248 | EMERGENCY CARE & HEALLTH ORGANIZATION, LTD Organization | Emergency Medicine | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1386674216 | MANUEL MOLINA SANCHEZ MD Individual | Specialist | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 503-3857 |
| 1699887554 | DR. LYNN ANGELA WRIGHT M.D. Individual | Anesthesiology | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 503-3857 |
| 1487706149 | DR. LITO FAJARDO M.D. Individual | Anesthesiology | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1528259389 | MRS. KATHLEEN O'SULLIVAN NILES CRNA Individual | Nurse Anesthetist, Certified Registered | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1659564342 | DR. CHRISTINE ANNE PATTE D.O. Individual | Emergency Medicine | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1164672572 | DR. JAMES VAN SIATRAS D.O. Individual | Surgery | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1538308564 | DR. NOAH THOMAS LEE D.O. Individual | Emergency Medicine | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1396984324 | APRIL LYNN BRILL D.O. Individual | Emergency Medicine | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1437382918 | JOHN WILLIAMS PT Individual | Physical Therapist | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 747-4000 |
| 1437481504 | ST JAMES HOSPITAL US CATHOLIC CONFERENCE Organization | General Acute Care Hospital | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 755-3348 |
| 1861705303 | ST JAMES HOSPITAL US CATHOLIC CONFERENCE Organization | Podiatrist | 20201 CRAWFORD AVE SUITE 1403 OLYMPIA FIELDS, IL 60461 (708) 755-3348 |
| 1164703013 | MR. ANTHONY WALTER MONAHAN RD, LDN, CDE Individual | Dietitian, Registered | 20201 CRAWFORD AVE OLYMPIA FIELDS, IL 60461 (708) 679-2130 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639222557, enumerated in the NPI registry as an "individual" on January 22, 2007
The provider is located at 20201 Crawford Ave Olympia Fields, Il 60461 and the phone number is (708) 503-3857
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
This NPI record was last updated on January 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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