Active NPI
Bridge Family Health, PLLC
- Primary Care Clinic/Center
- Evanston, IL
National Provider Identifier
1700739737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- BRIDGE FAMILY HEALTH, PLLC
- Practice address
- 3423 Church St
Evanston, IL 60203-1714 - Phone
- (847) 474-9559
- NPI assigned
- Feb 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Panzer, MD
- Title
- Owner/Family Doctor
- Phone
- (847) 474-9559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3423 Church St
Evanston, IL 60203-1714
Mailing address
3423 Church St
Evanston, IL 60203-1714
Phone (847) 474-9559
Other names 1
- Bridge Direct Care, PLLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2285017 | Bridge Family Health | Certificate of waiver | Jul 4, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1225158728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1700739737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3423 CHURCH ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602031714",
"telephone_number": "847-474-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3423 CHURCH ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602031714",
"telephone_number": "847-474-9559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGE FAMILY HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "PANZER",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "OWNER/FAMILY DOCTOR",
"authorized_official_telephone_number": "847-474-9559",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridge Direct Care, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.