Individual provider Active NPI

Concetta Zak, NFP

  • Family Nurse Practitioner
  • Mount Prospect, IL
National Provider Identifier
1215196720
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209004381 Issued in IL
Practice address
1701 East Kensington Road
Mount Prospect, IL 60056
Phone
(866) 825-3227
Fax
(866) 397-7399
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209004381 IL Primary

Addresses

Primary practice location

1701 East Kensington Road
Mount Prospect, IL 60056

Mailing address

161 Washington Street 14TH Floor
Eight Tower Bridge Suite 1400
Conshohocken, PA 19428
Phone (484) 351-3206

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929000833 IL Order and Referring Only - Nurse Practitioner 7517030638

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vna Health CareGroup PAC ID 6901879311, shared by 16 NPIs, 20 clinicians

Practice addresses (Care Compare)

400 N Highland Ave
Aurora, IL 60506-3814
Phone (630) 978-2532

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vna Health Care Past Accepting new patients
Take Care Health Illinois, P.C. Family Past Accepting new patients

Organizations & group practices 2

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1215196720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON STREET 14TH FLOOR",
            "address_2": "EIGHT TOWER BRIDGE SUITE 1400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "484-351-3206",
            "fax_number": "484-450-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 EAST KENSINGTON ROAD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "866-825-3227",
            "fax_number": "866-397-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAK",
        "first_name": "CONCETTA",
        "credential": "NFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209004381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.