Active NPI
Lara Kathleen Bonasera, M.D
- Anesthesiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036106687
- Practice address
- 836 W Wellington Ave
Chicago, IL 60657-5147 - Phone
- (773) 975-1600
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036106687 | IL | Primary |
Addresses
Primary practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Mailing address
2334 Momentum PL
Chicago, IL 60689-5325
Phone (224) 231-4363
Other practice location 1
4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036106687 | Medicaid | IL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbonasera279321@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical Branch at Galveston, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-4393
Hospital & facility affiliations
- Advocate Christ Hospital & Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Anesthesiology | Current | Accepting new patients |
| West Central Anesthesiology Group LTD | Anesthesiology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
| Associated Anesthesiologists, S.C. | Anesthesiology | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Anesthesiology | Current | Accepting new patients |
| Pediatric Anesthesia Associates, LTD | Anesthesiology | Past | Accepting new patients |
Locations
27790 W Highway 22
Barrington, IL 60010
Phone (847) 382-5080
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000
75 Remittance Dr
Dept 6187
Chicago, IL 60675
1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701
29373 Network Pl
Chicago, IL 60673
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
8386 Solutions Ctr
Chicago, IL 60677
836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009
475 E Diehl Rd
Naperville, IL 60563
Phone (630) 505-1200
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
2301 Enterprise Dr
Westchester, IL 60154
Phone (312) 227-6415
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- lbonasera279321@direct.myadvocateaurora.org
Organizations & group practices 8
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
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Rosemont, IL
- NPI 1396785648
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1891721775
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1902832884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 MOMENTUM PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895325",
"telephone_number": "224-231-4363",
"fax_number": "866-642-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-975-1600"
}
],
"practiceLocations": [
{
"address_1": "4440 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532600",
"country_code": "US",
"telephone_number": "708-684-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONASERA",
"first_name": "LARA",
"middle_name": "KATHLEEN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036106687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036106687",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbonasera279321@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4440 W 95th St",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532600",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4440 W 95th St",
"city": "Oak Lawn",
"state": "IL",
"country_code": "US",
"postal_code": "604532600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
- Kathleen Bonamer
- Celeste Richards Bonanno, MSW, LSW
- Emily Claire Bonanno, LPC
- Lawrence M. Bonanno, D.D.S.
- Grace Bonasera, M.A., CCC-SLP
- Steven Bonasera, CRADC
- Julia Francesca Bonato Cavalcanti Nespoli, M.D.
- Amando R. Boncales, CNA, MSED, MA, PHDC.
- Bond Drug Company of Illinois LLC
- Alex Christian Bond
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.