Individual provider Active NPI

Jillian Marie Schmelzle-Kraemer, M.D.

  • Anesthesiology Physician
  • Berwyn, IL
National Provider Identifier
1811205537
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036131739 Issued in IL
Practice address
Macneal Hospital
3249 Oak Park Avenue
Berwyn, IL 60402-3429
Phone
(708) 783-9100
Fax
(708) 783-2188
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036131739 IL Primary

Addresses

Primary practice location

Macneal Hospital
3249 Oak Park Avenue
Berwyn, IL 60402-3429

Mailing address

26W254 Kiowa LN
Wheaton, IL 60189-8914
Phone (630) 544-0647

Other identifiers 1

IdentifierTypeStateIssuer
036131739MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141016002383 IL Practitioner - Anesthesiology 6709007776 Reassigns benefits to 3 organizations
I20220521000181 FL Practitioner - Anesthesiology 6709007776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians

Practice addresses (Care Compare)

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 734-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Anesthesia Services LLC Anesthesiology CurrentSince May 12, 2022 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Apr 20, 2022 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Oct 1, 2014 Accepting new patients

Locations

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1811205537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W254 KIOWA LN",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898914",
            "telephone_number": "630-544-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MACNEAL HOSPITAL",
            "address_2": "3249 OAK PARK AVENUE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-783-9100",
            "fax_number": "708-783-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMELZLE-KRAEMER",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036131739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036131739",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.