George Charuk, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

36083237 Issued in IL

Practice address

2940 W 95TH St
Evergreen Park, IL 60805-2408

Phone

(630) 366-0012

Fax

(404) 328-7835

NPI assigned

Feb 14, 2006

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

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gcharuk@osniwi1911.srs-direct.com
• Direct secure messaging: gcharuk@mo1800.srs-direct.com
• Direct secure messaging: gcharuk@osnwi1911.srs-direct.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Orthopaedic Specialists of Northwest Indiana PC

  • Orthopaedic Surgery Physician
  • Munster, IN
  • NPI 1497865794
  NPD
• Chicago Midwest Geriatrics Physicians Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Lombard, IL
  • NPI 1104273440
  NPD (past)
• Loyola University Physician Foundation

  • General Practice Physician
  • Maywood, IL
  • NPI 1235148891
  NPD (past)
• Orthopedic Specialists of Northwest Indiana LLC

  • Orthopaedic Surgery Physician
  • Munster, IN
  • NPI 1417475658
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1679547079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODLAND DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231416",
            "telephone_number": "630-947-3912",
            "fax_number": "404-328-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052408",
            "telephone_number": "630-366-0012",
            "fax_number": "404-328-7835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Woodland Dr",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231416",
            "country_code": "US",
            "telephone_number": "630-947-3912",
            "fax_number": "404-328-7835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 Highland Ave # Tower1",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605151552",
            "country_code": "US",
            "telephone_number": "630-366-0012",
            "fax_number": "404-328-7835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10330 S Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Palos Hills",
            "state": "IL",
            "postal_code": "604651971",
            "country_code": "US",
            "telephone_number": "708-237-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214008",
            "country_code": "US",
            "telephone_number": "219-924-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARUK",
        "first_name": "GEORGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "36083237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER NPI #",
            "identifier": "1871528463",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC INDIVIDUAL PROVIDER #",
            "identifier": "K46446",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC GROUP PROVIDER #",
            "identifier": "212193",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1679547079",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36083237",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GCHARUK@OSNIWI1911.srs-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "730 45th St",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463212818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew William Cesario
• CGT Medical, PLLC
• Carmen Chan
• Julie Chang, MMS, PA-C
• Melissa M Chappell, M.D.
• Ahmad Chatila, MD
• Christopher Chelini, DC
• Kevin Matthew Chentorycki, PHARMD
• Sarah Chewning, APN-CNP
• Chicago Dental Salon, P.C.

• Physical Medicine & Rehabilitation Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.