Active NPI
Amber D Golebiewski, CRNA
- Certified Registered Nurse Anesthetist
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209-010618
- Practice address
- 355 Ridge Ave
Evanston, IL 60202-3328 - Phone
- (847) 316-4000
- NPI assigned
- Aug 21, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209-010618 | IL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 041391349 | IL |
Addresses
Primary practice location
355 Ridge Ave
Evanston, IL 60202-3328
Mailing address
PO Box 570
Lake Forest, IL 60045-0570
Phone (847) 615-2200
Other practice location 1
3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 766-4949
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041391349 | Other | IL | STATE LICENSE |
| 93117 | Other | IL | NBCRNA CERTIFICATION |
Other names 1
- Amber M Detwiller
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | agolebiewski393440@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8200
155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096
177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020
2650 Ridge Ave
Evanston, IL 60201-1700
3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420
331 W Surf St
Chicago, IL 60657-7227
Phone (615) 656-8129
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000
850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 525-6780
Hospital & facility affiliations
- Advocate Illinois Masonic Medical Center
- Thorek Memorial Hospital
- Elmhurst Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-010618 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wynn Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Catalyst Anesthesia Group, LLC | Current | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Quantum Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
5440 N Cumberland Ave
Ste 105
Chicago, IL 60656
Phone (773) 763-3990
9532 Eagle Way
Chicago, IL 60678
331 W Surf St
Ste 5800
Chicago, IL 60657
Phone (312) 896-7700
3134 N Clark St
Chicago, IL 60657
Phone (312) 766-4949
26413 Network Pl
Chicago, IL 60673
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
2333 N Harlem Ave
Chicago, IL 60707
Phone (773) 637-1700
29373 Network Pl
Chicago, IL 60673
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
114 W Rockland Rd
Libertyville, IL 60048
Phone (773) 267-0554
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Interoperability endpoints
- agolebiewski393440@direct.myadvocateaurora.org
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1770835126
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1679339931
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
- NPI 1033546833
IL, Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982643961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1881028231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600450570",
"telephone_number": "847-615-2200",
"fax_number": "847-615-2858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023328",
"telephone_number": "847-316-4000"
}
],
"practiceLocations": [
{
"address_1": "3134 N Clark St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606574414",
"country_code": "US",
"telephone_number": "773-766-4949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLEBIEWSKI",
"first_name": "AMBER",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-21",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209-010618",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041391349",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "041391349",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCRNA CERTIFICATION",
"identifier": "93117",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3134 N Clark St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574414",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agolebiewski393440@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3134 N Clark St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMBER",
"last_name": "DETWILLER",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.