Active NPI
Kathryn Clemans
- Certified Registered Nurse Anesthetist
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209021591
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- Jun 30, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 128336 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 128366 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209021591 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kclemans32521@direct.luhs.org | Health Information Exchange (HIE) |
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100
2650 Ridge Ave
Evanston, IL 60201-1700
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128336 | IL | MD | Certified Registered Nurse Anesthetist |
| 128366 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Huntley Anesthesia Associates LLC | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Oak Brook Anesthesiologists, LTD. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Allied Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Town Square Anesthesia LLC | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1580 W Lake St
Ste 100
Addison, IL 60101
Phone (630) 285-7000
403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
9532 Eagle Way
Chicago, IL 60678
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
950 N York Rd
Ste 101
Hinsdale, IL 60521
Phone (312) 767-3244
10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
2425 W 22nd St
Ste 101
Oak Brook, IL 60523
Phone (630) 312-5000
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170
Organizations & group practices 12
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.
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1205282019
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Anesthesiology Physician
- Oak Brook, IL
- NPI 1881705937
-
- Anesthesiology Physician
- Woodstock, IL
- NPI 1669471017
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Skilled Nursing Facility
- Harvard, IL
- NPI 1124195557
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1417574054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMANS",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "128336",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "128366",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209021591",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kclemans32521@direct.luhs.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2160 S 1st Ave",
"city": "Maywood",
"state": "IL",
"country_code": "US",
"postal_code": "601533328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.