Active NPI
Esad Zisko
- Surgical Assistant
- Chicago, IL
National Provider Identifier
1770905804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238000402
- Practice address
- 2441 W Farragut Ave Apt 3B
Chicago, IL 60625-2477 - Phone
- (773) 293-1342
- NPI assigned
- Jan 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238000402 | IL | Primary |
| General Acute Care Hospital | 282N00000X | 238000402 | IL |
Addresses
Primary practice location
2441 W Farragut Ave Apt 3B
Chicago, IL 60625-2477
Mailing address
2441 W Farragut Ave Apt 3B
Chicago, IL 60625-2477
Phone (773) 293-1342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238000402 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389139200000",
"number": "1770905804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 W FARRAGUT AVE APT 3B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252477",
"telephone_number": "773-293-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 W FARRAGUT AVE APT 3B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252477",
"telephone_number": "773-293-1342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZISKO",
"first_name": "ESAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-08",
"last_updated": "2014-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238000402",
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "238000402",
"primary": false
}
],
"identifiers": [],
"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 Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.