Individual provider Active NPI

Kathleen Maria Barak, APN

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1801322326
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015205 Issued in IL
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.

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
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

OrganizationSpecialtyStatusNew patients
Community First Healthcare of Illinois, Inc. CurrentSince Mar 3, 2020 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Mea Chicago PC Nurse Practitioner CurrentSince Feb 1, 2018 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 14, 2017 Accepting new patients
Community First Healthcare of Illinois, Inc. Current Accepting new patients
Community First Healthcare of Illinois, Inc. CurrentSince Mar 3, 2020 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015205 IL
Nurse Practitioner 363L00000X 209015205 IL Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.