Active NPI
Johanna Chookaszian, MD
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1366455818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036057628
- Practice address
- 5145 N California Ave
Chicago, IL 60625-3661 - Phone
- (773) 878-8200
- Fax
- (773) 293-8804
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036057628 | IL | Primary |
Addresses
Primary practice location
5145 N California Ave
Chicago, IL 60625-3661
Mailing address
2740 W Foster Ave
Ste 310
Chicago, IL 60625-3500
Phone (773) 878-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036057628 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jchookaszian283615@direct.northshore.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036057628 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Covenant Management Services, Inc. | Anesthesiology | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients |
Locations
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
2740 W Foster Ave
Ste 310
Chicago, IL 60625
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.
-
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- NPI 1760432348
-
- Emergency Medicine Physician
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- NPI 1962049551
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1699126383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1366455818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 W FOSTER AVE",
"address_2": "STE 310",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253500",
"telephone_number": "773-878-8200",
"fax_number": "773-293-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253661",
"telephone_number": "773-878-8200",
"fax_number": "773-293-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOOKASZIAN",
"first_name": "JOHANNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036057628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036057628",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jchookaszian283615@direct.northshore.org",
"affiliation": "N",
"address_1": "5145 N California Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606253661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.