Zachary Andrew Kordik, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

125053365 Issued in IL

Practice address

2913 N Commonwealth Ave
Chicago, IL 60657-6211

Phone

(847) 493-3521

Fax

(847) 493-3531

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zkordik9004@direct.rush.rush-health.com

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.

• Modern Mental Health by Dr. Zachary Kordik, PLLC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1669068797
  NPD Authorized official
• Zachary a Kordik MD PC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1144848086
  NPD Authorized official

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1578719381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 N COMMONWEALTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576211",
            "telephone_number": "847-493-3521",
            "fax_number": "847-493-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 N COMMONWEALTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576211",
            "telephone_number": "847-493-3521",
            "fax_number": "847-493-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDIK",
        "first_name": "ZACHARY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125053365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keriann T Kordas
• Payal A Korde, PT
• Madeline Kordell
• Kevin Kordi, DMD
• Abbe Kordik
• Avram Cibul Kordon, MD
• Laura Cibul Kordon, M.D.
• Marshall Elliott Kordon, PSY.D.
• Victoria Kordon, O.D.
• Mitchell Kordzikowski

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.