Individual provider Active NPI

Mirha Karic, FNP

  • Nurse Practitioner
  • Carol Stream, IL
National Provider Identifier
1700688223
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.032008 Issued in IL
Practice address
270 W Army Trail Rd
Carol Stream, IL 60188-9368
Phone
(630) 517-5674
NPI assigned
Mar 25, 2025
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.032008 IL Primary

Addresses

Primary practice location

270 W Army Trail Rd
Carol Stream, IL 60188-9368

Mailing address

4755 Main St Unit 1529
Lisle, IL 60532-2082
Phone (872) 203-5397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512000689 IL Practitioner - Nurse Practitioner 5193242386 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyworks Medical Center PLLC CurrentSince Apr 15, 2025 Accepting new patients
Karas PC CurrentSince Aug 1, 2025 Accepting new patients
Karas PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1189 N Gary Ave
Carol Stream, IL 60188
Phone (630) 517-5674

270 W Army Trail Rd
Carol Stream, IL 60188
Phone (630) 517-5674

600 W 22nd St
Oak Brook, IL 60523
Phone (630) 230-6505

600 W 22nd St
Ste 102
Oak Brook, IL 60523
Phone (708) 726-6588

60 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (214) 289-8282

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.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1700688223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 MAIN ST UNIT 1529",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322082",
            "telephone_number": "872-203-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 W ARMY TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889368",
            "telephone_number": "630-517-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIC",
        "first_name": "MIRHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.032008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carol Stream, IL

Sources for this page

Verify at the official NPI Registry.