Individual provider Active NPI

Karen Campbell Spaccarelli, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1023083136
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036088567 Issued in IL
Practice address
8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436
Phone
(708) 831-8282
Fax
(773) 714-1229
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036088567 IL Primary

Addresses

Primary practice location

8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436

Mailing address

PO Box 443
Bedford Park, IL 60499-0443
Phone (708) 831-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000465 IL Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 0547163610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Un of California, Irvine, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesiologists Chicago LLCGroup PAC ID 9436119542, 47 clinicians

Practice addresses (Care Compare)

9550 W Higgins Rd
Suite 1100
Rosemont, IL 60018-4962
Phone (773) 355-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036088567ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Anesthesiologists Chicago LLC Anesthesiology CurrentSince Nov 1, 2020 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
West Central Anesthesiology Group LTD Anesthesiology Past Accepting new patients
Our Lady of the Resurrection Medical Center Past Accepting new patients
Gottlieb Midwest Anesthesiologists, LLC Anesthesiology Past Accepting new patients

Locations

8420 W Bryn Mawr Ave
Ste 300
Chicago, IL 60631
Phone (773) 756-5760

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

40 S Clay St
Hinsdale, IL 60521
Phone (630) 323-4202

1243 Rickert Dr
Naperville, IL 60540
Phone (630) 303-5650

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

9550 W Higgins Rd
Ste 1100
Rosemont, IL 60018
Phone (773) 756-5760

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

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1023083136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604990443",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 W BRYN MAWR AVE STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313436",
            "telephone_number": "708-831-8282",
            "fax_number": "773-714-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPACCARELLI",
        "first_name": "KAREN",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036088567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.