Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beverly Black

Individual provider Registered Nurse · NPI 1518647346

Beverly Black is a Certified Registered Nurse Anesthetist (CRNA) in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with University of Chicago, a 1,681-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1620 W Harrison St, Chicago, IL 60612-3801 — (312) 942-5000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209031260 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041439265 (IL)

Record details

NPI number1518647346
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address1800 W Roscoe St Apt 323, Chicago, IL 60657-1012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chicago