NPIMap

Individual provider Active NPI

Marko J Jachtorowycz, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Morton Grove, IL
National Provider Identifier
1073597894
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
036080243 Issued in IL
Practice address
5747 Dempster St
Suite 100
Morton Grove, IL 60053-3056
Phone
(847) 663-1030
Fax
(847) 663-1039
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 036080243 IL Primary
Gynecology Physician 207VG0400X 036080243 IL

Addresses

Primary practice location

5747 Dempster St
Suite 100
Morton Grove, IL 60053-3056

Mailing address

5747 Dempster St
Suite 100
Morton Grove, IL 60053-3056
Phone (847) 663-1030

Other identifiers 1

IdentifierTypeStateIssuer
036080243MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060609000153 IL Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 9436161429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1041 W Stearns Rd
Bartlett, IL 60103-4509
Phone (630) 716-7500

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 490-6945

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

800 Biesterfield Rd
Elk Grove Village, IL 60007-3364

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Sep 2, 2019 Accepting new patients
Presence Healthcare Services CurrentSince Sep 2, 2019 Accepting new patients
Access Community Health Network CurrentSince Jun 21, 2010 Accepting new patients
Access Community Health Network CurrentSince Jun 21, 2010 Accepting new patients
Access Community Health Network Current Accepting new patients
Consultants in Gynecology, S.C. Urogynecology and Reconstructive Pelvic Surgery Current Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Jul 1, 2021 Accepting new patients
Presence Healthcare Services Current Accepting new patients

Locations

7464 N Clark St
Chicago, IL 60626
Phone (773) 381-8700

62311 Collection Ctr Dr
Chicago, IL 60693

800 Austin St
Ste 569
Evanston, IL 60202
Phone (847) 328-5600

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

1555 N Barrington Rd
Ste 2350
Hoffman Estates, IL 60169
Phone (847) 230-4428

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

5747 Dempster St
Ste 100
Morton Grove, IL 60053
Phone (847) 663-1030

190 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 766-0412

Interoperability endpoints

  • Direct secure messaging: marko.jachtorowycz.1@380.direct.athenahealth.com
  • Direct secure messaging: marko.jachtorowycz.1@3164.direct.athenahealth.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1073597894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 DEMPSTER ST",
            "address_2": "SUITE 100",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533056",
            "telephone_number": "847-663-1030",
            "fax_number": "847-663-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 DEMPSTER ST",
            "address_2": "SUITE 100",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533056",
            "telephone_number": "847-663-1030",
            "fax_number": "847-663-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACHTOROWYCZ",
        "first_name": "MARKO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "IL",
            "license": "036080243",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036080243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080243",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.