Individual provider Active NPI

Daniel Robert Bunzol, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1831458181
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
125.059440 Issued in IL
Practice address
1801 W Taylor St
Chicago, IL 60612-4795
Phone
(866) 600-2723
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 125.059440 IL Primary

Addresses

Primary practice location

1801 W Taylor St
Chicago, IL 60612-4795

Mailing address

912 S Wood St
Chicago, IL 60612-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150706000861 IL Practitioner - Physical Medicine and Rehabilitation 8527370527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1520 W Harrison St
Chicago, IL 60607-3106
Phone (312) 942-5904

1620 W Harrison St
Chicago, IL 60612-3801

1625 N Harlem Ave
Chicago, IL 60707-4303

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

516 S Loomis St
Chicago, IL 60607-2812
Phone (312) 942-5000

Hospital & facility affiliations

  • Astra Health Home health agency, Harwood Heights, IL, CCN 148259
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119
  • Shirley Ryan Abilitylab Inpatient rehabilitation facility, Chicago, IL, CCN 143026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.059440ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Rush University Medical Group Physical Medicine & Rehabilitation CurrentSince Oct 1, 2018 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2015 Accepting new patients
Schwab Faculty Associates Inc Physical Medicine & Rehabilitation CurrentSince Nov 30, 2016 Accepting new patients

Locations

1725 W Harrison St
Ste 118
Chicago, IL 60612
Phone (312) 942-4817

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1725 W Harrison St
Ste 855
Chicago, IL 60612
Phone (312) 563-2320

1411 S Michigan Ave
Chicago, IL 60605
Phone (312) 454-2700

912 S Wood St
Chicago, IL 60612
Phone (312) 996-2200

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371

1401 S California Ave
Chicago, IL 60608
Phone (773) 522-5853

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

28687 Network Pl
Chicago, IL 60673

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

1625 N Harlem Ave
Chicago, IL 60707
Phone (312) 256-8583

75 Remittance Dr
Dept 1611
Chicago, IL 60675

516 S Loomis St
Chicago, IL 60607
Phone (717) 975-6402

Interoperability endpoints

  • Direct secure messaging: dbunzol17585@direct.rush.rush-health.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1831458181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WOOD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "866-600-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNZOL",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125.059440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.