Active NPI
Laura Ann Kavlie, PA-C
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085004512
- Practice address
- 2701 W 68TH St
Chicago, IL 60629-1813 - Phone
- (773) 884-9000
- NPI assigned
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085004512 | IL | Primary |
Addresses
Primary practice location
2701 W 68TH St
Chicago, IL 60629-1813
Mailing address
1115 S Oak Park Ave Apt 2
Oak Park, IL 60304-2616
Phone (616) 558-0693
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1690 W Lake St
Addison, IL 60101-1833
Phone (630) 283-6633
335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone (630) 735-1400
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
800 W Plainfield Rd
Countryside, IL 60525-3745
Phone (708) 298-0543
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.45
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085004512 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Emergency Physicians, LLC | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
Interoperability endpoints
- laura.kavlie.1@18377.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Emergency Medicine Physician
- Yorkville, IL
- NPI 1407379423
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Emergency Medicine Physician
- Aurora, IL
- NPI 1508389628
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1134644164
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1184968646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 S OAK PARK AVE APT 2",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603042616",
"telephone_number": "616-558-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W 68TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606291813",
"telephone_number": "773-884-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVLIE",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085004512",
"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 Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.