Individual provider Active NPI

Grant Theodore Balbarin, CRNA

  • Certified Registered Nurse Anesthetist
  • Lincolnwood, IL
National Provider Identifier
1891237095
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209015171 Issued in IL
Practice address
4201 W Chase Ave
Lincolnwood, IL 60712-1935
Phone
(847) 287-4666
NPI assigned
Nov 6, 2016
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209015171 IL Primary
Certified Registered Nurse Anesthetist 367500000X 112318430 WI
Registered Nurse 163W00000X 041.331615 IL

Addresses

Primary practice location

4201 W Chase Ave
Lincolnwood, IL 60712-1935

Mailing address

4201 W Chase Ave
Lincolnwood, IL 60712-1935
Phone (847) 287-4666

Other practice location 1

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address gbalbarin308520@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170413000776 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486930021 Reassigns benefits to 15 organizations
I20260302001363 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486930021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates, LTDGroup PAC ID 2961303425, 34 clinicians
Ireland Anesthesia Management LLCGroup PAC ID 4284130345, 16 clinicians
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602

100 5TH St
Oswego, IL 60543-8338
Phone (630) 449-0085

1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 788-9100

331 W Surf St
Suite 5800
Chicago, IL 60657-0084
Phone (580) 512-3684

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 279-0061

825 S Milwaukee Ave
Libertyville, IL 60048-3218
Phone (224) 504-2200

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.331615ILMDRegistered Nurse
209015171ILMDCertified Registered Nurse Anesthetist
112318430WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gottlieb Community Health Services Corporation CurrentSince Aug 8, 2023 Accepting new patients
North Shore Same Day Surgery LLC CurrentSince Nov 14, 2023 Accepting new patients
Valley Pain Care Centers LTD CurrentSince May 1, 2018 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince May 29, 2017 Accepting new patients
Ias Illinois PC CurrentSince Nov 3, 2023 Accepting new patients
Loyola Medical Group LLC CurrentSince May 1, 2023 Accepting new patients
Ireland Anesthesia Management LLC CurrentSince Sep 4, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 26, 2025 Accepting new patients
Encore Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2023 Accepting new patients
Kane Anesthesia Associates, SC CurrentSince Jun 1, 2019 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Aug 8, 2023 Accepting new patients
Apollo Medical Group of Illinois LLC Nurse Anesthetist, Certified Registered CurrentSince May 6, 2024 Accepting new patients
Vituity-Wisconsin Anesthesia SC CurrentSince Jan 19, 2026 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Vituity-Wisconsin Anesthesia SC CurrentSince Jan 19, 2026 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Dec 26, 2025 Accepting new patients
Anesthesia Associates, LTD CurrentSince Feb 22, 2017 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2018 Accepting new patients
Stat Anesthesia Specialists, LTD. CurrentSince Jan 1, 2018 Accepting new patients

Locations (25 of 28)

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

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

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

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

29373 Network Pl
Chicago, IL 60673

3034 W Peterson Ave
Chicago, IL 60659
Phone (773) 973-7432

331 W Surf St
Ste 5800
Chicago, IL 60657
Phone (312) 896-7700

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

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

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

742 Essington Rd
Joliet, IL 60435
Phone (815) 220-5632

125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900

18221 Torrence Ave
Ste 1
Lansing, IL 60438

18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

3725 W Touhy Ave
Lincolnwood, IL 60712
Phone (847) 324-7770

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

150 W High St
Morris, IL 60450
Phone (815) 942-2129

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

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

100 5th St
Oswego, IL 60543
Phone (630) 449-0085

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

Interoperability endpoints

  • Direct secure messaging: gbalbarin308520@direct.myadvocateaurora.org
  • Direct secure messaging: gbalbarin80647@direct.luhs.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 2

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": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1891237095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W CHASE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121935",
            "telephone_number": "847-287-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W CHASE AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121935",
            "telephone_number": "847-287-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483204",
            "country_code": "US",
            "telephone_number": "847-362-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALBARIN",
        "first_name": "GRANT",
        "middle_name": "THEODORE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209015171",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "112318430",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.331615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "801 S Milwaukee Ave",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbalbarin308520@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 S Milwaukee Ave",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.

Verify at the official NPI Registry.