Individual provider Active NPI

John L Zautcke

  • Emergency Medicine Physician
  • Northbrook, IL
National Provider Identifier
1316046352
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036066855 Issued in IL
Practice address
333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624
Phone
(224) 205-7866
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036066855 IL Primary

Addresses

Primary practice location

333 Skokie Blvd Ste 112
Northbrook, IL 60062-1624

Mailing address

809 S Marshfield Ave
9TH Floor (M/C 732)
Chicago, IL 60612-4305
Phone (312) 996-7699

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273

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
I20100610000224 IL Practitioner - Emergency Medicine 9335279850 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative IV Care, PLLCGroup PAC ID 1850633769, 2 clinicians

Practice addresses (Care Compare)

3221 N Sheffield Ave
Chicago, IL 60657-8510
Phone (773) 799-8520

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois Emergency Medicine CurrentSince Jan 1, 1987 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 15, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 15, 2017 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Innovative Platinum Care, SC CurrentSince Aug 17, 2019 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jan 1, 1987 Accepting new patients
Innovative IV Care, PLLC Emergency Medicine CurrentSince Sep 3, 2019 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Dec 6, 2016 Accepting new patients
Pic Wisconsin SC PastSince Sep 25, 2019 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

2077 N Clybourn Ave
Chicago, IL 60614
Phone (773) 886-1500

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

2400 N Ashland Ave
Chicago, IL 60614
Phone (773) 259-7180

600 W Adams St
Chicago, IL 60661
Phone (312) 506-0900

2155 City Gate Ln
Ste 225
Naperville, IL 60563
Phone (630) 547-5040

3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130

Interoperability endpoints

  • Direct secure messaging: john.zautcke.1@13676.direct.athenahealth.com

Organizations & group practices 9

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1316046352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S MARSHFIELD AVE",
            "address_2": "9TH FLOOR (M/C 732)",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124305",
            "telephone_number": "312-996-7699",
            "fax_number": "312-996-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD STE 112",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621624",
            "telephone_number": "224-205-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAUTCKE",
        "first_name": "JOHN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036066855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.