Individual provider Active NPI

John Steven Stracks, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1790804136
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036123810 Issued in IL
Practice address
1828 W Webster Ave Ste 450
Chicago, IL 60614-2916
Phone
(312) 489-8890
Fax
(773) 337-7316
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301085634 MI
Family Medicine Physician 207Q00000X 036123810 IL Primary

Addresses

Primary practice location

1828 W Webster Ave Ste 450
Chicago, IL 60614-2916

Mailing address

1828 W Webster Ave Ste 450
Chicago, IL 60614-2916
Phone (312) 489-8890

Other practice location 1

666 Dundee Rd Ste 1504
Northbrook, IL 60062-2737
Phone (312) 489-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Stracks, MD, LLC Family Medicine Current Accepting new patients
Northwestern Memorial Physicians Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.stracks@96115314851844.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1790804136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 W WEBSTER AVE STE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142916",
            "telephone_number": "312-489-8890",
            "fax_number": "773-337-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 W WEBSTER AVE STE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142916",
            "telephone_number": "312-489-8890",
            "fax_number": "773-337-7316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "666 Dundee Rd Ste 1504",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600622737",
            "country_code": "US",
            "telephone_number": "312-489-8890",
            "fax_number": "312-610-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRACKS",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301085634",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036123810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.