Individual provider Active NPI

Soula Karnezis, C.R.N.A

  • Certified Registered Nurse Anesthetist
  • La Grange, IL
National Provider Identifier
1023044955
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041302186 Issued in IL
Practice address
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone
(708) 352-1200
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041302186 IL Primary

Addresses

Primary practice location

5101 Willow Springs Rd
La Grange, IL 60525-2600

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000694 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537104310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Gottlieb Midwest Anesthesiologists, LLCGroup PAC ID 8123929940, 42 clinicians

Practice addresses (Care Compare)

120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-1200

530 N Cass Ave
Westmont, IL 60559-1503
Phone (630) 968-1800

Hospital & facility affiliations

  • Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041302186ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ucm Medical Group Sub, LLC CurrentSince Dec 20, 2021 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Jun 5, 2018 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Gottlieb Midwest Anesthesiologists, LLC CurrentSince Dec 12, 2023 Accepting new patients
HLG Anesthesia Associates, LLC Past Accepting new patients

Locations

9145 Collection Ctr Dr
Chicago, IL 60693

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

27702 Network Pl
Chicago, IL 60673

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

908 N Elm St
Hinsdale, IL 60521
Phone (630) 325-3310

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

387 Shuman Blvd
Ste 240W
Naperville, IL 60563

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

530 N Cass Ave
Westmont, IL 60559
Phone (630) 794-8688

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1023044955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WILLOW SPRINGS RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252600",
            "telephone_number": "708-352-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNEZIS",
        "first_name": "SOULA",
        "credential": "C.R.N.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041302186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.