Active NPI
Caroline Estabrook Allison, CRNA
- Certified Registered Nurse Anesthetist
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.009195
- Practice address
- 801 South Milwaukee Avenue
Advocate Condell Medical Center
Libertyville, IL 60048 - Phone
- (847) 362-2900
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.009195 | IL | Primary |
Addresses
Primary practice location
801 South Milwaukee Avenue
Advocate Condell Medical Center
Libertyville, IL 60048
Mailing address
3145 N Monticello Ave
Apt #2
Chicago, IL 60618-6613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230202003158 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2466615117 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000
Hospital & facility affiliations
- Sentara RMH Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.009195 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMG Anesthesia Specialists LLC | Current | Accepting new patients |
Locations
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
Organizations & group practices 1
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": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1821366063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 N MONTICELLO AVE",
"address_2": "APT #2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 SOUTH MILWAUKEE AVENUE",
"address_2": "ADVOCATE CONDELL MEDICAL CENTER",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "60048",
"telephone_number": "847-362-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "CAROLINE",
"middle_name": "ESTABROOK",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.009195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.