Active NPI
Kathleen Maria Barak, APN
- Nurse Practitioner
- Chicago, IL
National Provider Identifier
1801322326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209015205
- Practice address
- 5645 W Addison St
Chicago, IL 60634-4403 - Phone
- (773) 282-7000
- NPI assigned
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1881059897
IL
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053102269
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1962894675
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170819000031 | IL | Practitioner - Nurse Practitioner | 8527330919 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Mea Chicago PC | Nurse Practitioner | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients | |
| Community First Healthcare of Illinois, Inc. | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209015205 | IL | |
| Nurse Practitioner | 363L00000X | 209015205 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5645 W Addison St
Chicago, IL 60634-4403
Mailing address
5645 W Addison St
Chicago, IL 60634-4403
Phone (773) 282-7000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 29, 2026.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1801322326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344403",
"telephone_number": "773-282-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344403",
"telephone_number": "773-282-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAK",
"first_name": "KATHLEEN",
"middle_name": "MARIA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209015205",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209015205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.