Individual provider Active NPI

Daniel Szoke, PHD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1396518197
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.011078 Issued in IL
Practice address
1645 W Jackson Blvd # 670K
Chicago, IL 60612-3276
Phone
(312) 942-6747
NPI assigned
Nov 2, 2023
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 071.011078 IL
Clinical Psychologist 103TC0700X 071.011078 IL Primary

Addresses

Primary practice location

1645 W Jackson Blvd # 670K
Chicago, IL 60612-3276

Mailing address

1645 W Jackson Blvd # 670K
Chicago, IL 60612-3276
Phone (312) 942-6747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071.011078ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Clinical CurrentSince Nov 13, 2023 Accepting new patients
Rush University Medical Center CurrentSince Nov 13, 2023 Accepting new patients

Locations

1645 W Jackson Blvd
#670K
Chicago, IL 60612
Phone (312) 942-6747

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

325 S Paulina St
Chicago, IL 60612
Phone (312) 877-5938

325 S Paulina St
Fl 2
Chicago, IL 60612
Phone (312) 563-1463

75 Remittance Dr
Dept 1611
Chicago, IL 60675

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1396518197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD # 670K",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD # 670K",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123276",
            "telephone_number": "312-942-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZOKE",
        "first_name": "DANIEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.011078",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.011078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.