Individual provider Active NPI

Fatima Zitouni, MD

  • Occupational Medicine Physician
  • Chicago, IL
National Provider Identifier
1669044160
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
036171962 Issued in IL
Practice address
835 S Wolcott Ave Unit E
Chicago, IL 60612-3748
Phone
(312) 996-7420
Fax
(312) 413-8485
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125078928 IL
Occupational Medicine Physician 2083X0100X 125.078928 IL
Occupational Medicine Physician 2083X0100X 036171962 IL Primary

Addresses

Primary practice location

835 S Wolcott Ave Unit E
Chicago, IL 60612-3748

Mailing address

8450 S Octavia Ave
Bridgeview, IL 60455-1725
Phone (773) 703-5407

Other identifiers 1

IdentifierTypeStateIssuer
320351299MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106000278 IL Practitioner - Preventive Medicine 6901209782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care of Illinois PCGroup PAC ID 6002040276, 36 clinicians

Practice addresses (Care Compare)

3145 S Ashland Ave
Suite 110
Chicago, IL 60608-6248
Phone (773) 254-5516

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.078928ILMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Illinois PC CurrentSince Oct 29, 2024 Accepting new patients

Locations

3145 S Ashland Ave
Ste 110
Chicago, IL 60608
Phone (773) 254-5516

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: fzitouni136404@uihealth.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1669044160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 S OCTAVIA AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551725",
            "telephone_number": "773-703-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S WOLCOTT AVE UNIT E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123748",
            "telephone_number": "312-996-7420",
            "fax_number": "312-413-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITOUNI",
        "first_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125078928",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "125.078928",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036171962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320351299",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.