Individual provider Active NPI

Kathleen Olsen, CRNA

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1023459005
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209012168 Issued in IL
Practice address
8420 W Bryn Mawr Ave Ste 300
Chicago, IL 60631-3436
Phone
(773) 756-5780
Fax
(773) 714-1353
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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 209012168 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 (773) 756-5780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160401000941 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456586932 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambulatory Anesthesiologists of Chicago LLCGroup PAC ID 4284605171, 6 clinicians

Practice addresses (Care Compare)

7456 S State Rd
Suite 300
Bedford Park, IL 60638-6625
Phone (773) 445-9696

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Ambulatory Anesthesiologists of Chicago, LLC CurrentSince Mar 31, 2025 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 10, 2023 Accepting new patients
Amsurg Oak Lawn Il Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince May 15, 2021 Accepting new patients
Elite Anesthesia Providers, LTD Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 10, 2023 Accepting new patients

Locations

7456 S State Rd
Ste 300
Bedford Park, IL 60638
Phone (708) 424-6500

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

60 E Delaware Pl
Fl 15
Chicago, IL 60611
Phone (312) 440-5150

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

12 Salt Creek Ln
Ste 425
Hinsdale, IL 60521
Phone (630) 789-2260

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

19110 Darvin Dr
Mokena, IL 60448
Phone (708) 478-8889

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

720 Brom Ct
Ste 201
Naperville, IL 60540
Phone (331) 330-8559

3 N Washington St
Naperville, IL 60540
Phone (630) 357-6540

1003 Pawlak Pkwy
New Lenox, IL 60451
Phone (708) 226-3300

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

9921 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 425-2552

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

7340 W College Dr
Palos Heights, IL 60463
Phone (708) 361-3233

10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

18200 La Grange Rd
Tinley Park, IL 60487
Phone (708) 570-2490

27650 Ferry Rd
Warrenville, IL 60555
Phone (630) 225-2345

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

Organizations & group practices 9

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1023459005",
    "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": "773-756-5780",
            "fax_number": "773-714-1353"
        },
        {
            "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": "773-756-5780",
            "fax_number": "773-714-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "KATHLEEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209012168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.