Active NPI
John Steven Stracks, MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1790804136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036123810
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Stracks, MD, LLC | Family Medicine | Current | Accepting new patients |
| Northwestern Memorial Physicians Group | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1033780325
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1538111299
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.