Active NPI
Merrill J Zahtz MD SC
- Specialist
- Skokie, IL
National Provider Identifier
1104076405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0360563631
- Legal business name
- MERRILL J ZAHTZ MD SC
- Practice address
- 8170 McCormick Blvd
Suite 204
Skokie, IL 60076-2961 - Phone
- (773) 621-6489
- Fax
- (847) 410-2041
- NPI assigned
- Sep 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Merrill Zahtz, MD
- Title
- Provider
- Phone
- (773) 621-6489
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0360563631 | IL | Primary |
Addresses
Primary practice location
8170 McCormick Blvd
Suite 204
Skokie, IL 60076-2961
Mailing address
PO Box 597130
Chicago, IL 60659-7130
Phone (773) 621-6489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036056363 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1225097819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1104076405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 597130",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606597130",
"telephone_number": "773-621-6489",
"fax_number": "847-410-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8170 MCCORMICK BLVD",
"address_2": "SUITE 204",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600762961",
"telephone_number": "773-621-6489",
"fax_number": "847-410-2041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRILL J ZAHTZ MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "ZAHTZ",
"authorized_official_first_name": "MERRILL",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "773-621-6489",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "0360563631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036056363",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.