Individual provider Active NPI

Allan Tachauer, MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1679506489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-082927 Issued in IL
Practice address
4824 N Sheridan Rd
Chicago, IL 60640-3704
Phone
(773) 564-7405
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-082927 IL Primary

Addresses

Primary practice location

4824 N Sheridan Rd
Chicago, IL 60640-3704

Mailing address

2368 Paysphere Cir
Chicago, IL 60674-2368

Other identifiers 1

IdentifierTypeStateIssuer
036082927MedicaidIL

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
I20041001000980 IL Practitioner - Internal Medicine 7214906544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience Healthcare - Lakefront Medical Associates LLCGroup PAC ID 5991046468, 37 clinicians
Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-2328

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 525-6780

Hospital & facility affiliations

  • Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-082927ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Jan 29, 2019 Accepting new patients
Thorek Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Thorek Radiology Group NFP Current Accepting new patients
Thorek Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Associates in Nephrology, S.C. Past Accepting new patients

Locations

4700 N Marine Dr
Chicago, IL 60640
Phone (773) 250-5300

4646 N Marine Dr
Ste A4600
Chicago, IL 60640
Phone (773) 564-7400

4646 N Marine Dr
Ste A
Chicago, IL 60640
Phone (773) 564-5006

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Interoperability endpoints

  • Direct secure messaging: allan.tachauer.1@18552.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679506489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403704",
            "telephone_number": "773-564-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHAUER",
        "first_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-082927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082927",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.