Individual provider Active NPI

Jonathan Mark Erlich, M.D.

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1265796429
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036137164 Issued in IL
Practice address
7447 W Talcott Ave Ste 209
Chicago, IL 60631-3713
Phone
(773) 631-2728
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036137164 IL Primary
Hospitalist Physician 208M00000X 036137164 IL

Addresses

Primary practice location

7447 W Talcott Ave Ste 209
Chicago, IL 60631-3713

Mailing address

7447 W Talcott Ave Ste 209
Chicago, IL 60631-3713
Phone (773) 631-2728

Other practice location 1

180 Harvester Dr
Suite 110
Burr Ridge, IL 60527-7594
Phone (773) 702-1150

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
I20150818003037 IL Practitioner - Internal Medicine 1658596044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gi Partners of Illinois PLLCGroup PAC ID 2567758295, 38 clinicians
Corr Health Wi, SCGroup PAC ID 2163877879, 7 clinicians

Practice addresses (Care Compare)

7447 W Talcott Ave
Suite 209
Chicago, IL 60631-3713
Phone (773) 631-2728

939 W N Ave
Chicago, IL 60642-7138
Phone (646) 830-8707

Hospital & facility affiliations

  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Partners of Illinois, PLLC Gastroenterology CurrentSince Apr 15, 2020 Accepting new patients
Corr Health Wi, SC CurrentSince May 1, 2025 Accepting new patients

Locations

7447 W Talcott Ave
Ste 209
Chicago, IL 60631
Phone (773) 631-2728

939 W North Ave
Chicago, IL 60642
Phone (312) 337-1244

1880 W Winchester Rd
Ste 201
Libertyville, IL 60048
Phone (847) 247-0187

961 Broadway
Ste 103
Woodmere, NY 11598
Phone (212) 516-8548

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.

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1265796429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313713",
            "telephone_number": "773-631-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 209",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313713",
            "telephone_number": "773-631-2728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Harvester Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605277594",
            "country_code": "US",
            "telephone_number": "773-702-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERLICH",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036137164",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036137164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.