Individual provider Active NPI

Angela Zak, APN

  • Family Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1073824504
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277-000732 Issued in IL
Practice address
24801 W 135TH St
Plainfield, IL 60544-5413
Phone
(800) 323-8622
Fax
(224) 225-0356
NPI assigned
Jun 30, 2010
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277-000732 IL
Family Nurse Practitioner 363LF0000X 041281123 IL
Family Nurse Practitioner 363LF0000X 277-000732 IL Primary

Addresses

Primary practice location

24801 W 135TH St
Plainfield, IL 60544-5413

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Other practice location 1

1799 Douglas Rd
Montgomery, IL 60538-2170
Phone (866) 825-3227

Other identifiers 1

IdentifierTypeStateIssuer
100266022MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address azak205515@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, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101124000305 IL Practitioner - Nurse Practitioner 9032305495 Reassigns benefits to 3 organizations
I20240214002322 WI Practitioner - Nurse Practitioner 9032305495

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint James HospitalGroup PAC ID 0648187252, shared by 14 NPIs, 74 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

111 Spring St
Streator, IL 61364-3332
Phone (815) 672-4587

1640 1St Ave
Ottawa, IL 61350-9214
Phone (815) 431-9208

330 SW Adams St
Peoria, IL 61602-1502
Phone (309) 655-2877

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277-000732ILMDNurse Practitioner
041281123ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Oct 1, 2025 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Aug 13, 2025 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Aug 13, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital CurrentSince Oct 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 13, 2025 Accepting new patients

Locations

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

111 Spring St
Fl 4
Streator, IL 61364
Phone (815) 672-4587

Interoperability endpoints

  • Direct secure messaging: azak205515@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1073824504",
    "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",
            "fax_number": "847-390-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24801 W 135TH ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445413",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1799 Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "IL",
            "postal_code": "605382170",
            "country_code": "US",
            "telephone_number": "866-825-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAK",
        "first_name": "ANGELA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277-000732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041281123",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277-000732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266022",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azak205515@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1799 Douglas Rd",
            "city": "Montgomery",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605382170",
            "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": "1799 Douglas Rd",
            "city": "Montgomery",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605382170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.