Individual provider Active NPI

Karen E Hawk, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1699056630
Registry record updated Sep 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209008931 Issued in IL
Practice address
2800 N Sheridan Rd
#300
Chicago, IL 60657-6156
Phone
(773) 248-8652
Fax
(773) 248-8647
NPI assigned
Sep 5, 2011
Last updated
Sep 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2011

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 209008931 IL Primary

Addresses

Primary practice location

2800 N Sheridan Rd
#300
Chicago, IL 60657-6156

Mailing address

2800 N Sheridan Rd
#300
Chicago, IL 60657-6156
Phone (773) 248-8652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130429000665 IL Practitioner - Nurse Practitioner 0648416115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Remington Blvd
Bolingbrook, IL 60440-4706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Feb 13, 2013 Accepting new patients
Presence Healthcare Services CurrentSince Feb 13, 2013 Accepting new patients
Presence Healthcare Services Current Accepting new patients

Locations

1000 Remington Blvd
Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2417

2800 N Sheridan Rd
Ste 300
Chicago, IL 60657
Phone (773) 248-8652

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

62311 Collection Ctr Dr
Chicago, IL 60693

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315180800000",
    "number": "1699056630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "#300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-248-8652",
            "fax_number": "773-248-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "#300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-248-8652",
            "fax_number": "773-248-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.