Organization Active NPI

Zucker & Zucker PC

  • Podiatrist
  • Northbrook, IL
National Provider Identifier
1003901067
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ZUCKER & ZUCKER PC
Practice address
244 Arrowwood Dr
Northbrook, IL 60062-1039
Phone
(847) 509-1320
Fax
(847) 509-1320
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Kevin Bruce ZuckerNPI 1497736383
Title
President
Phone
(847) 778-0573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

244 Arrowwood Dr
Northbrook, IL 60062-1039

Mailing address

244 Arrowwood Dr
Northbrook, IL 60062-1039
Phone (847) 778-0573

Other identifiers 3

IdentifierTypeStateIssuer
016003543MedicaidIL
016003702MedicaidIL
016004306MedicaidIL

Other names 1

  • Complete Foot Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070322000348 IL Part B Supplier - Clinic/Group Practice 9234233750 Receives reassigned benefits from 2 practitioners
Practice locations: Glenview, IL; Metamora, IL; Moline, IL; Normal, IL; Norridge, IL; Orland Park, IL; Ottawa, IL; Park Ridge, IL…

National Provider Directory

National Provider Directory

Locations

118 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 671-1660

510 Broadway
Normal, IL 61761
Phone (309) 452-4406

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1003901067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 ARROWWOOD DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621039",
            "telephone_number": "847-778-0573",
            "fax_number": "708-452-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 ARROWWOOD DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621039",
            "telephone_number": "847-509-1320",
            "fax_number": "847-509-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUCKER & ZUCKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "ZUCKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-778-0573"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003543",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016003702",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004306",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.