Individual provider Active NPI

Karin Rawski-Rose, APN

  • Family Nurse Practitioner
  • Oakbrook Terrace, IL
National Provider Identifier
1477927655
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012638 Issued in IL
Practice address
1S132 Summit Ave
Suite 105E
Oakbrook Terrace, IL 60181-3955
Phone
(630) 705-1342
Fax
(708) 995-8785
NPI assigned
Nov 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012638 IL Primary

Addresses

Primary practice location

1S132 Summit Ave
Suite 105E
Oakbrook Terrace, IL 60181-3955

Mailing address

1S132 Summit Ave
Suite 105E
Oakbrook Terrace, IL 60181-3955
Phone (630) 705-1342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209012638ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
K.a.M Alliance, Inc. CurrentSince Sep 11, 2018 Accepting new patients
Physicians House Calls CurrentSince Feb 1, 2025 Accepting new patients

Locations

2215 W 95th St
#100
Chicago, IL 60643
Phone (773) 239-9600

1580 N Northwest Hwy
Ste 121A
Park Ridge, IL 60068
Phone (630) 225-1428

Organizations & group practices 2

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1477927655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S132 SUMMIT AVE",
            "address_2": "SUITE 105E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813955",
            "telephone_number": "630-705-1342",
            "fax_number": "708-995-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S132 SUMMIT AVE",
            "address_2": "SUITE 105E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813955",
            "telephone_number": "630-705-1342",
            "fax_number": "708-995-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSKI-ROSE",
        "first_name": "KARIN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.