Organization Active NPI

Juan F Zapata, M.D. LLC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1659435089
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036110036 Issued in IL
Legal business name
JUAN F ZAPATA, M.D. LLC
Practice address
4959 W Belmont Ave
Suite N
Chicago, IL 60641-4332
Phone
(773) 930-3642
Fax
(773) 930-3974
NPI assigned
Dec 20, 2006
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Juan F Zapata, M.D.NPI 1184668618
Title
Owner
Phone
(773) 930-3642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036110036 IL Primary

Addresses

Primary practice location

4959 W Belmont Ave
Suite N
Chicago, IL 60641-4332

Mailing address

4959 W Belmont Ave
Suite N
Chicago, IL 60641-4332
Phone (773) 930-3642

Other identifiers 3

IdentifierTypeStateIssuer
1184668618OtherNPI
DO9541OtherRR MEDICARE
0001636792OtherBCBS OF IL

National Provider Directory

National Provider Directory

Locations

4959 W Belmont Ave
Ste N
Chicago, IL 60641
Phone (773) 622-4400

7107 W Belmont Ave
Ste 5
Chicago, IL 60634
Phone (773) 237-1122

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1659435089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 W BELMONT AVE",
            "address_2": "SUITE N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414332",
            "telephone_number": "773-930-3642",
            "fax_number": "773-930-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 W BELMONT AVE",
            "address_2": "SUITE N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414332",
            "telephone_number": "773-930-3642",
            "fax_number": "773-930-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN F ZAPATA, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-930-3642",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184668618",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DO9541",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "0001636792",
            "state": null
        }
    ],
    "endpoints": [],
    "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 May 16, 2012; 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.