Individual provider Active NPI

Kara G. Clark, CRNA

  • Certified Registered Nurse Anesthetist
  • Glenview, IL
National Provider Identifier
1326073487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Practice address
1912 Palmgren Dr
Glenview, IL 60025-4216
Phone
(847) 729-9086
Fax
(847) 729-9086
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X IL Primary

Addresses

Primary practice location

1912 Palmgren Dr
Glenview, IL 60025-4216

Mailing address

1912 Palmgren Dr
Glenview, IL 60025-4216
Phone (847) 729-9086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000986 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355386608 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7427 Lake St
River Forest, IL 60305-1817
Phone (708) 488-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-274-227ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
River Forest Surgery Center LLC CurrentSince May 6, 2025 Accepting new patients
River Forest Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince May 6, 2025 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Jun 19, 2019 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Aug 10, 2021 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Aesthetic Anesthesia, LLC Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Physician Anesthesia Associates, S.C. Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
City of Hope Medical Group of Illinois PLLC Past Accepting new patients

Locations

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

4501 N Winchester Ave
Chicago, IL 60640
Phone (773) 250-0000

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

7427 Lake St
River Forest, IL 60305
Phone (708) 488-1200

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

Organizations & group practices 10

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326073487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 PALMGREN DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254216",
            "telephone_number": "847-729-9086",
            "fax_number": "847-729-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 PALMGREN DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254216",
            "telephone_number": "847-729-9086",
            "fax_number": "847-729-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KARA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.