- Practice location
- 350 N Wall St, Kankakee, IL 60901-2901
- Phone
- 815-933-1671
- Fax
- —
- Last updated
- August 5, 2026
Caitlyn Coburn is a Nurse Anesthetist, Certified Registered based in Kankakee, IL. Caitlyn Coburn practices in Kankakee, IL and has the professional credentials of CRNA. The NPI Number for Caitlyn Coburn is 1891376265 and holds a License No. 041.484462 (IL). The current practice location address for Caitlyn Coburn is 350 N Wall St, Kankakee, IL 60901-2901 and can be reached out via phone at 815-933-1671.
Provider Profile Details
- NPI Number
- 1891376265
- Provider Name
- Caitlyn Coburn
- Credential
- CRNA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 350 N Wall St, Kankakee, IL 60901-2901
- Phone Number
- 815-933-1671
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 17, 2021
- Last Update Date
- August 5, 2026
- Certification Date
- August 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 350 N Wall St
Kankakee, IL 60901-2901 - City
- Kankakee
- State
- Illinois
- Zip
- 60901-2901
- Phone Number
- 815-933-1671
Provider Business Mailing Address Details
- Address
- 1605 E Central RD Unit 121C
Arlington Heights, IL 60005-3339 - City
- Arlington Heights
- State
- IL
- Zip
- 60005-3339
- Phone Number
- 603-557-3895
License Information
- License Number (1)
- 041.484462
- License State (1)
- IL
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 101.0135810
- License State (2)
- VT
- Taxonomy (2)
- Nurse Anesthetist, Certified Registered · 367500000X
- License Number (3)
- 135212
- License State (3)
- IL
- Taxonomy (3)
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
- License Number (4)
- 070631-23
- License State (4)
- NH
- Taxonomy (4)
- Nurse Anesthetist, Certified Registered · 367500000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Anesthetist, Certified Registered providers near Kankakee, IL
View all Nurse Anesthetist, Certified Registered providers in Kankakee →Frequently Asked Questions
What is the NPI number of Caitlyn Coburn, CRNA?
The NPI number of Caitlyn Coburn, CRNA is 1891376265. It was assigned on April 17, 2021 and is currently active in the NPPES registry.
What is the specialty of Caitlyn Coburn, CRNA?
Caitlyn Coburn, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in IL under license number 041.484462.
Where does Caitlyn Coburn, CRNA practice?
The practice location is 350 N Wall St, Kankakee, IL 60901-2901. The office can be reached at 815-933-1671 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891376265 directly on the NPPES registry website.