Individual provider Active NPI

Deborah Chisholm Karas, APN-BC,

  • Adult Health Nurse Practitioner
  • N Barrington, IL
National Provider Identifier
1235123522
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209-004944 Issued in IL
Practice address
108 S Wynstone Park Dr Ste 116
N Barrington, IL 60010-6923
Phone
(847) 477-3134
Fax
(847) 574-8064
NPI assigned
Sep 1, 2005
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 209-004944 IL Primary

Addresses

Primary practice location

108 S Wynstone Park Dr Ste 116
N Barrington, IL 60010-6923

Mailing address

20770 Juniper LN
Barrington, IL 60010-2900
Phone (847) 477-3134

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
I20050601000807 IL Practitioner - Nurse Practitioner 6507808466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4200 N Austin Ave
Chicago, IL 60634-1615
Phone (847) 602-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-004944ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Chisholm Karas RN PC Adult Health CurrentSince Feb 1, 2008 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
K C a S ENT Inc. Past Accepting new patients

Locations

4200 N Austin Ave
Chicago, IL 60634
Phone (773) 545-8300

108 S Wynstone Park Dr
Ste 116
North Barrington, IL 60010
Phone (847) 477-3134

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1235123522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20770 JUNIPER LN",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102900",
            "telephone_number": "847-477-3134",
            "fax_number": "847-574-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S WYNSTONE PARK DR STE 116",
            "city": "N BARRINGTON",
            "state": "IL",
            "postal_code": "600106923",
            "telephone_number": "847-477-3134",
            "fax_number": "847-574-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAS",
        "first_name": "DEBORAH",
        "middle_name": "CHISHOLM",
        "name_prefix": "Dr.",
        "credential": "APN-BC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-004944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Barrington, IL

Sources for this page

Verify at the official NPI Registry.