Active NPI
Jessica Gavzer, PA-C
- Physician Assistant
- Elgin, IL
National Provider Identifier
1902085673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-003093
- Practice address
- 2350 Royal Blvd Ste 300
Elgin, IL 60123-4718 - Phone
- (847) 742-3120
- Fax
- (847) 742-4021
- NPI assigned
- Oct 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-003093 | IL | Primary |
Addresses
Primary practice location
2350 Royal Blvd Ste 300
Elgin, IL 60123-4718
Mailing address
2350 Royal Blvd Ste 300
Elgin, IL 60123-4718
Phone (847) 742-3120
Other names 1
- Jessica Tonchick
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000
5501 W Fullerton Ave
Chicago, IL 60639-1368
Phone (312) 864-0200
Hospital & facility affiliations
- John H Stroger Jr Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-003093 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Fastrac Medical, P.C. | Past | Accepting new patients | |
| John H Stroger Jr Hospital Cook County | Past | Accepting new patients | |
| Winters Family Practice PC | Past | Accepting new patients |
Locations
5501 W Fullerton Ave
Chicago, IL 60639
Phone (733) 957-4007
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Emergency Medicine Physician
- Joliet, IL
- NPI 1659517597
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1992914733
-
- Family Medicine Physician
- Elgin, IL
- NPI 1912942863
Hospital & facility affiliations 27
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": "1193702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1902085673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 ROYAL BLVD STE 300",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234718",
"telephone_number": "847-742-3120",
"fax_number": "847-742-4021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 ROYAL BLVD STE 300",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234718",
"telephone_number": "847-742-3120",
"fax_number": "847-742-4021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAVZER",
"first_name": "JESSICA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-30",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-003093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "TONCHICK",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.