Zachary a Kordik MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ZACHARY A KORDIK MD PC

Practice address

25 E Washington St Ste 904
Chicago, IL 60602-1715

Phone

(312) 566-7936

Fax

(312) 276-4000

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Andrew Kordik, MDNPI 1578719381

Title

President

Phone

(312) 566-7936

Specialties & licenses 1

Addresses

Other names 1

• Modern Mental Health Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary Andrew Kordik, M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1578719381
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1144848086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W HURON ST UNIT 1403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543613",
            "telephone_number": "312-566-7936",
            "fax_number": "312-276-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021715",
            "telephone_number": "312-566-7936",
            "fax_number": "312-276-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY A KORDIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "KORDIK",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-566-7936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maureen Theresa Zach, LMFT
• Annette Zacharia, MD
• Ibrahim Omar Zacharia Sr.
• Jeffrey William Zacharias, LCSW, CADC
• Tresa Elizabeth Zacharias, MD
• Zachary Palmer, LLC
• Lawrence S Zachary, M.D.
• Zachris Medical Corporation
• Zack Hamingson LCPC, P.C.
• Angela Zack, NP

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.