Individual provider Active NPI

Terry Strawser, MD

  • Family Medicine Physician
  • Machesney Park, IL
National Provider Identifier
1063499101
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36053363 Issued in IL
Practice address
11475 N 2ND St
Machesney Park, IL 61115-1285
Phone
(815) 654-8000
Fax
(815) 654-8020
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36053363 IL Primary

Addresses

Primary practice location

11475 N 2ND St
Machesney Park, IL 61115-1285

Mailing address

11475 N 2ND St
Machesney Park, IL 61115-1285
Phone (815) 654-8000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000157 IL Practitioner - Family Practice 7810957503 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36053363ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Sep 5, 2017 Accepting new patients
Fastrac Medical, P.C. Past Accepting new patients

Locations

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

9501 S Western Ave
Chicago, IL 60643
Phone (773) 344-9465

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1420 Busse Rd
Elk Grove Vlg, IL 60007
Phone (847) 653-0142

750 Essington Rd
Joliet, IL 60435
Phone (815) 729-2160

11475 N 2nd St
Machesney Pk, IL 61115
Phone (815) 543-5612

11475 N 2nd St
#8268
Machesney Pk, IL 61115

1711 W Highway 50
O Fallon, IL 62269
Phone (618) 206-5076

6595 E State St
Rockford, IL 61108
Phone (815) 226-1300

Organizations & group practices 3

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1063499101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 N 2ND ST",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151285",
            "telephone_number": "815-654-8000",
            "fax_number": "815-654-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11475 N 2ND ST",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611151285",
            "telephone_number": "815-654-8000",
            "fax_number": "815-654-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAWSER",
        "first_name": "TERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36053363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machesney Park, IL

Sources for this page

Verify at the official NPI Registry.