Kevin B Zucker DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

KEVIN B ZUCKER DPM PC

Practice address

1311 Madison Dr
Buffalo Grove, IL 60089-6827

Phone

(847) 821-0743

Fax

(847) 821-1421

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin B Zucker, DPMNPI 1497736383

Title

Owner

Phone

(847) 821-0743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Bruce Zucker, DPM

  • Podiatrist
  • Northbrook, IL
  • NPI 1497736383
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366505109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MADISON DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896827",
            "telephone_number": "847-821-0743",
            "fax_number": "847-821-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 MADISON DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600896827",
            "telephone_number": "847-821-0743",
            "fax_number": "847-821-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN B ZUCKER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUCKER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-821-0743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.