Individual provider Active NPI

Alan J Zucker, M.D.

  • Specialist
  • Lombard, IL
National Provider Identifier
1881696623
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036059644 Issued in IL
Practice address
246 E Janata Blvd
Ste 130
Lombard, IL 60148-5317
Phone
(630) 932-2055
Fax
(630) 932-2059
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036059644 IL Primary

Addresses

Primary practice location

246 E Janata Blvd
Ste 130
Lombard, IL 60148-5317

Mailing address

246 E Janata Blvd
Ste 130
Lombard, IL 60148-5317
Phone (630) 932-2055

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
I20170410001972 IL Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 4981896834

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036059644ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vna Health Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: azucker586560@direct.ochin.org

Organizations & group practices 1

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1881696623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 E JANATA BLVD",
            "address_2": "STE 130",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485317",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E JANATA BLVD",
            "address_2": "STE 130",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485317",
            "telephone_number": "630-932-2055",
            "fax_number": "630-932-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "ALAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036059644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.