Active NPI
Kara G. Clark, CRNA
- Certified Registered Nurse Anesthetist
- Glenview, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041-274-227 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Forest Surgery Center LLC | Current | Accepting new patients | |
| River Forest Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Anesthesia Partners, LLC | Current | Accepting new patients | |
| Allied Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Certified Registered Nurse Anesthetist
- River Forest, IL
- NPI 1194727727
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Glenview, IL
- NPI 1023207909
-
- Ambulatory Surgical Clinic/Center
- River Forest, IL
- NPI 1083615470
-
- Specialist
- Zion, IL
- NPI 1548258072
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Elk Grove Village, IL
- NPI 1376629550
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.