Individual provider Active NPI

Kara Egan, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1891545398
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.010306 Issued in IL
Practice address
5401 S Wentworth Ave
Chicago, IL 60609-6300
Phone
(773) 288-6900
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.010306 IL Primary

Addresses

Primary practice location

5401 S Wentworth Ave
Chicago, IL 60609-6300

Mailing address

5401 S Wentworth Ave
Chicago, IL 60609-6300
Phone (773) 288-6900

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
I20240617001380 IL Practitioner - Physician Assistant 3678016896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

17119 La Grange Rd
Tinley Park, IL 60487-7203
Phone (708) 942-6707

17126 Harlem Ave
Tinley Park, IL 60477-3504
Phone (331) 481-5048

2508 W 94TH St
Evergreen Park, IL 60805-2818
Phone (708) 470-7383

3258 W 111TH St
Chicago, IL 60655-2729
Phone (773) 629-8217

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

4323 S Pulaski Rd
Chicago, IL 60632-4008
Phone (773) 389-3591

5521 S Kedzie Ave
Unit 106
Chicago, IL 60629-2448
Phone (773) 306-2546

6239 S Archer Ave
Chicago, IL 60638-2609
Phone (708) 929-1569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.010306ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Jun 10, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 13, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jun 13, 2025 Accepting new patients
Access Community Health Network CurrentSince Jun 10, 2024 Accepting new patients

Locations

5401 S Wentworth Ave
Chicago, IL 60609
Phone (773) 268-5664

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1891545398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096300",
            "telephone_number": "773-288-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096300",
            "telephone_number": "773-288-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.010306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.