Active NPI
Alice Elena Tudor, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN195845
- Practice address
- 3134 N Clark St
Chicago, IL 60657-4414 - Phone
- (773) 766-4949
- Fax
- (312) 766-4909
- NPI assigned
- Nov 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.010958 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN195845 | GA | Primary |
Addresses
Primary practice location
3134 N Clark St
Chicago, IL 60657-4414
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
380 Hospital Dr Ste 410
Macon, GA 31217-8014
Phone (478) 746-5644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003145166A | Medicaid | GA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | atudor283763@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, GA, IN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131230001671 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012144785 | Reassigns benefits to 12 organizations |
| I20140605002226 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012144785 | Reassigns benefits to 1 organization |
| I20260203004042 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012144785 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
2701 17TH St
Rock Island, IL 61201-5351
Phone (844) 937-1810
331 W Surf St
Suite 5800
Chicago, IL 60657-0084
Phone (580) 512-3684
333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133
500 John Deere Rd
Moline, IL 61265-6892
Phone (844) 937-1810
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
695 N Kellogg St
Galesburg, IL 61401-2807
Phone (309) 343-8131
Hospital & facility affiliations
- Carle Foundation Hospital
- Carle Bromenn Medical Center
- Trinity Rock Island
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN195845 | GA | MD | Certified Registered Nurse Anesthetist |
| 209.010958 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ireland Anesthesia Management LLC | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| Australia Anesthesia Management LLC | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gottlieb Midwest Anesthesiologists, LLC | Current | Accepting new patients | |
| Roseland Community Hospital Association | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Allied Anesthesia Associates, P.C. | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Midwest Anesthesia Partners, LLC | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Roseland Community Hospital Association | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations (25 of 26)
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999
7937 S Harlem Ave
Burbank, IL 60459
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
331 W Surf St
Ste 5800
Chicago, IL 60657
Phone (312) 896-7700
9145 Collection Ctr Dr
Chicago, IL 60693
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
530 N Cass Ave
Westmont, IL 60559
Phone (630) 794-8688
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
Interoperability endpoints
- atudorcrna421902@carlehiedirect.net
- atudor283763@direct.myadvocateaurora.org
- atudorcrna157541@uchospital.direct-ci.com
- atudor902417@direct.unitypoint.org
Organizations & group practices 18
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.
-
- Anesthesiology Physician
- Galesburg, IL
- NPI 1316399967
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
IL
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
IL
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1306029889
IL, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
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": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1194155671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900",
"fax_number": "847-390-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3134 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574414",
"telephone_number": "773-766-4949",
"fax_number": "312-766-4909"
}
],
"practiceLocations": [
{
"address_1": "380 Hospital Dr Ste 410",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312178014",
"country_code": "US",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUDOR",
"first_name": "ALICE",
"middle_name": "ELENA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.010958",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN195845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003145166A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "atudor283763@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3134 N Clark St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574414",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3134 N Clark St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574414",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 10, 2022; 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.