Active NPI
Michael Rezak, MD, PHD
- Neurology Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036073545
- Practice address
- 1875 Dempster St Ste 625
Park Ridge, IL 60068-1137 - Phone
- (847) 723-4088
- Fax
- (847) 627-8700
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 28511 | CT | |
| Neurology Physician | 2084N0400X | 296649 | NY | |
| Neurology Physician | 2084N0400X | 036073545 | IL | Primary |
Addresses
Primary practice location
1875 Dempster St Ste 625
Park Ridge, IL 60068-1137
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
1555 Barrington Rd Ste 2400
Hoffman Estates, IL 60169-1063
Phone (847) 981-3630
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | michael.rezak@nuvancehealth.org | Health Information Exchange (HIE) | |
| CONNECT URL | michael.rezak@nuvancehealt.org | Direct | |
| Direct Messaging Address | michael.rezak.1@380.direct.athenahealth.com | ||
| Direct Messaging Address | mrezak405711@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
- Neurology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1875 Dempster St
Park Ridge, IL 60068-1186
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
650 W Lake Cook Rd
Buffalo Grove, IL 60089-2082
Phone (847) 459-1160
Hospital & facility affiliations
- Advocate Home Health Care Serv
- Advocate Lutheran General Hospital
- Advocate Good Shepherd Hospital
- Advocate Sherman Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28511 | CT | MD | Neurology Physician |
| 036073545 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Health Quest Medical Practice, PC | Past | Accepting new patients | |
| Adventist Health Partners, Inc | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
Dept 5777
Carol Stream, IL 60122
29373 Network Pl
Chicago, IL 60673
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
444 N Park Blvd
Glen Ellyn, IL 60137
Phone (630) 469-0045
1555 N Barrington Rd
Ste 2400
Hoffman Estates, IL 60169
Phone (847) 981-3630
1875 W Dempster St
Ste 625
Park Ridge, IL 60068
Phone (847) 518-1200
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
25 N Winfield Rd
Ste 500
Winfield, IL 60190
Phone (630) 232-2800
25 N Winfield Rd
Ste 201
Winfield, IL 60190
Phone (630) 933-4480
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL PPO Downstate
- IL HMO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Interoperability endpoints
- mrezak405711@direct.myadvocateaurora.org
Organizations & group practices 6
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
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Anesthesiology Physician
- Glendale Heights, IL
- NPI 1912942012
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Park Ridge, IL
- NPI 1164539730
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1003975897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 DEMPSTER ST STE 625",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681137",
"telephone_number": "847-723-4088",
"fax_number": "847-627-8700"
}
],
"practiceLocations": [
{
"address_1": "1555 Barrington Rd Ste 2400",
"address_purpose": "LOCATION",
"city": "Hoffman Estates",
"state": "IL",
"postal_code": "601691063",
"country_code": "US",
"telephone_number": "847-981-3630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REZAK",
"first_name": "MICHAEL",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "28511",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "296649",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036073545",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "michael.rezak@nuvancehealth.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "michael.rezak@nuvancehealth.org",
"address_1": "69 Sand Pit Rd Ste 300",
"city": "Danbury",
"state": "CT",
"country_code": "US",
"postal_code": "068104004",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "michael.rezak@nuvancehealt.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "michael.rezak@nuvancehealth.org",
"address_1": "21 Reade Pl Ste 1100",
"city": "Poughkeepsie",
"state": "NY",
"country_code": "US",
"postal_code": "126013986",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.rezak.1@380.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1555 Barrington Rd Ste 2400",
"city": "Hoffman Estates",
"state": "IL",
"country_code": "US",
"postal_code": "601691063",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrezak405711@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1875 Dempster St Ste 625",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681137",
"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": "1875 Dempster St Ste 625",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600681137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.