Individual provider Active NPI

Olga Zuk, M.D.

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1326046681
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036070498 Issued in IL
Practice address
5140 N California Ave
Suite 115
Chicago, IL 60625-3645
Phone
(773) 989-3803
Fax
(773) 878-5726
NPI assigned
Jul 11, 2005
Last updated
May 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036070498 IL Primary

Addresses

Primary practice location

5140 N California Ave
Suite 115
Chicago, IL 60625-3645

Mailing address

6923 W Shakespeare Ave
#2
Chicago, IL 60707-3355
Phone (773) 385-6529

Other identifiers 2

IdentifierTypeStateIssuer
036070498MedicaidIL
K36740OtherILMEDICARE PERFORMING PROVIDER ID

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
I20070425000553 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8729183413 Practice locations: Chicago, IL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1326046681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 W SHAKESPEARE AVE",
            "address_2": "#2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073355",
            "telephone_number": "773-385-6529",
            "fax_number": "773-385-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 N CALIFORNIA AVE",
            "address_2": "SUITE 115",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253645",
            "telephone_number": "773-989-3803",
            "fax_number": "773-878-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUK",
        "first_name": "OLGA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036070498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070498",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PERFORMING PROVIDER ID",
            "identifier": "K36740",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.