Organization Active NPI

Ctca Physicians Group of Illinois, LLC

  • Specialist
  • Zion, IL
National Provider Identifier
1699763185
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CTCA PHYSICIANS GROUP OF ILLINOIS, LLC
Practice address
2520 Elisha Ave
Zion, IL 60099-2676
Phone
(847) 746-4358
Fax
(847) 746-4213
NPI assigned
Oct 10, 2005
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Neetu Masuta
Title
Chief Accounting Officer
Phone
(847) 342-6978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2520 Elisha Ave
Zion, IL 60099-2676

Mailing address

PO Box 74008983
Chicago, IL 60674-0001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctcazionclinic@ctca.allscriptsdirect.net Direct

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2349 Paysphere Cir
Chicago, IL 60674

9300 Waukegan Rd
Morton Grove, IL 60053
Phone (847) 299-1044

Practitioners & affiliated clinicians

Practitioners 3

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1699763185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008983",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 ELISHA AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992676",
            "telephone_number": "847-746-4358",
            "fax_number": "847-746-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTCA PHYSICIANS GROUP OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "MASUTA",
        "authorized_official_first_name": "NEETU",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "847-342-6978"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctcazionclinic@ctca.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "160 E Illinois St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606115426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.