Active NPI
Louise E Komorek, CRNA
- Certified Registered Nurse Anesthetist
- Granite City, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209006533
- Practice address
- 2100 Madison Ave
Granite City, IL 62040-4701 - Phone
- (660) 826-5960
- NPI assigned
- Feb 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209006533 | IL | Primary |
Addresses
Primary practice location
2100 Madison Ave
Granite City, IL 62040-4701
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Other names 1
- Louise E Weise
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkomorek227863@direct.luhs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola Medical Group LLC | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Sinai Community Foundation | Current | Accepting new patients | |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Encore Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physician Anesthesia Associates, S.C. | Past | Accepting new patients | |
| Granite City Physicians Corp | Past | Accepting new patients |
Locations
3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1558987883
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Berwyn, IL
- NPI 1013415603
-
- General Practice Physician
- Berwyn, IL
- NPI 1376041954
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
- Psychiatric Hospital Unit
- Berwyn, IL
- NPI 1700864352
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1982995536
-
- Clinical Medical Laboratory
- Granite City, IL
- NPI 1508983214
-
- 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": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1366577835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653021547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 MADISON AVE",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620404701",
"telephone_number": "660-826-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMOREK",
"first_name": "LOUISE",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209006533",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkomorek227863@direct.luhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2100 Madison Ave",
"city": "Granite City",
"state": "IL",
"country_code": "US",
"postal_code": "620404701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LOUISE",
"last_name": "WEISE",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Granite City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.