Individual provider Active NPI

Timothy J Heilizer, MD

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1245347996
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036091663 Issued in IL
Practice address
2338 W North Ave
Chicago, IL 60647-6541
Phone
(773) 227-5914
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036091663 IL Primary

Addresses

Primary practice location

2338 W North Ave
Chicago, IL 60647-6541

Mailing address

1S376 Summit Ave Ste 4C
Oakbrook Terrace, IL 60181-3966
Phone (630) 424-1122

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328000067 IL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6709832389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2338 W N Ave
Chicago, IL 60647-6541
Phone (773) 227-5914

Hospital & facility affiliations

  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036091663ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicagoland University Pediatric Surgery, LLC Current Accepting new patients
Tim Heilizer SC Corp Surgery CurrentSince Feb 15, 2010 Accepting new patients
James S Spitz MD SC Surgery Past Accepting new patients

Locations

1S376 Summit Ave
Ste 4C
Oakbrook Terrace, IL 60181
Phone (630) 424-1122

Organizations & group practices 3

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 3

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1245347996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE STE 4C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813966",
            "telephone_number": "630-424-1122",
            "fax_number": "630-324-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476541",
            "telephone_number": "773-227-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILIZER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036091663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.