Active NPI
Fatima Zitouni, MD
- Occupational Medicine Physician
- Chicago, IL
National Provider Identifier
1669044160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 036171962
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320351299 | Medicaid | IL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125.078928 | IL | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Illinois PC | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.