Individual provider Active NPI

Karen Jean Krooswyk, ARNP-ANP-BC

  • Adult Health Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1134477706
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
277.003420 Issued in IL
Practice address
1890 Silver Cross Blvd
Ste 350
New Lenox, IL 60451-9603
Phone
(815) 714-8737
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 277.003420 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd
Ste 350
New Lenox, IL 60451-9603

Mailing address

1890 Silver Cross Blvd
Ste 350
New Lenox, IL 60451-9603
Phone (815) 717-8737

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218001094 IL Practitioner - Nurse Practitioner 3274760228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians

Practice addresses (Care Compare)

14255 Cicero Ave
Crestwood, IL 60418-2154
Phone (708) 371-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.003420ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prakash Vaishnav MD CurrentSince Jun 1, 2022 Accepting new patients
CMC Healthcare LLC CurrentSince May 30, 2025 Accepting new patients
P C Goodwin Medical LLC Past Accepting new patients

Locations

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

2201 Main St
Evanston, IL 60202
Phone (847) 905-3000

Organizations & group practices 3

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1134477706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "STE 350",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519603",
            "telephone_number": "815-717-8737",
            "fax_number": "815-717-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD",
            "address_2": "STE 350",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519603",
            "telephone_number": "815-714-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROOSWYK",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "credential": "ARNP-ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277.003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.