Active NPI
Audrey L Kon
- Certified Registered Nurse Anesthetist
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209014899
- Practice address
- 1000 N Westmoreland Rd
Lake Forest, IL 60045-1658 - Phone
- (847) 234-5600
- Fax
- (847) 535-7884
- NPI assigned
- Sep 20, 2016
- 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 | 112696 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209014899 | IL | Primary |
Addresses
Primary practice location
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Mailing address
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600
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
- University of Michigan Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Westmoreland Rd
Pavillion B 3Rd FL
Lake Forest, IL 60045-1659
Phone (847) 535-8500
1000 Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
600 N Westmoreland Rd
Suite 1100
Lake Forest, IL 60045-1659
Phone (847) 535-9510
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600
660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146
Hospital & facility affiliations
- Northwestern Lake Forest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112696 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Partners, LLC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
Interoperability endpoints
- akon132248@uchospital.direct-ci.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1346798220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N WESTMORELAND RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451658",
"telephone_number": "847-234-5600",
"fax_number": "847-535-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N WESTMORELAND RD",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600451658",
"telephone_number": "847-234-5600",
"fax_number": "847-535-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KON",
"first_name": "AUDREY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "112696",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209014899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.