Active NPI
John L Zautcke
- Emergency Medicine Physician
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036066855
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of the University of Illinois | Emergency Medicine | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Innovative Platinum Care, SC | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Innovative IV Care, PLLC | Emergency Medicine | Current | Accepting new patients |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Pic Wisconsin SC | Past | 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
- 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.
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-
- Family Medicine Physician
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- NPI 1114397056
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1891913992
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Urgent Care Clinic/Center
- Brookfield, WI
- NPI 1124678354
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.