NPIMap

Organization Active NPI

Merrill J Zahtz MD SC

  • Specialist
  • Evanston, IL
National Provider Identifier
1487833489
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MERRILL J ZAHTZ MD SC
Practice address
800 Austin St
Suite 408
Evanston, IL 60202-3439
Phone
(847) 316-4744
Fax
(847) 475-6835
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Merrill J Zahtz, M.D., S.C.
Title
President
Phone
(773) 478-1197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

800 Austin St
Suite 408
Evanston, IL 60202-3439

Mailing address

3525 W Granville Ave
Chicago, IL 60659-2221
Phone (773) 478-1197

Other identifiers 1

IdentifierTypeStateIssuer
0360563631MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1487833489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W GRANVILLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592221",
            "telephone_number": "773-478-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 408",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-316-4744",
            "fax_number": "847-475-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRILL J ZAHTZ MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ZAHTZ",
        "authorized_official_first_name": "MERRILL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-478-1197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., S.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360563631",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.