Active NPI
Leticia Perea, APN-CRNA
- Certified Registered Nurse Anesthetist
- Chicago Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209-017698
- Practice address
- 1423 Chicago Rd
Chicago Heights, IL 60411-3400 - Phone
- (708) 756-1000
- NPI assigned
- Jul 10, 2018
- 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 | 041383420 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209-017698 | IL | Primary |
Addresses
Primary practice location
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Mailing address
387 Shuman Blvd Ste 240W
Naperville, IL 60563-8113
Phone (630) 868-2200
Other practice location 1
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 293-5486
Other practice location 2
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lperea371730@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rush Medical College of Rush University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-9454
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-017698 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Midwest Anesthesia Partners, LLC | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
29373 Network Pl
Chicago, IL 60673
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
387 Shuman Blvd
Ste 240W
Naperville, IL 60563
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Organizations & group practices 6
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.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
dba Swedish Covenant Medical Group
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
dba Swedish Emergency Medicine
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Lutheran General Hospital
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1235625559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 SHUMAN BLVD STE 240W",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638113",
"telephone_number": "630-868-2200",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CHICAGO RD",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "604113400",
"telephone_number": "708-756-1000"
}
],
"practiceLocations": [
{
"address_1": "5145 N California Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253661",
"country_code": "US",
"telephone_number": "773-293-5486",
"fax_number": "773-989-1639",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1775 Dempster St",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600681143",
"country_code": "US",
"telephone_number": "847-723-2210",
"fax_number": "847-723-3532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREA",
"first_name": "LETICIA",
"credential": "APN-CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041383420",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209-017698",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lperea371730@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"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": "1775 Dempster St",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.