Daniel Martin Jurak, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036086918 Issued in IL

Practice address

935 E Division St
Diamond, IL 60416

Phone

(815) 634-8447

Fax

(815) 634-8612

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Candlelight Home Healthcare LLC Home health agency, Coal City, IL, CCN 148375
• Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
• Riverside Medical Center Hospital, Kankakee, IL, CCN 140186

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Daniel Jurak D O S C

  • Family Medicine Physician
  • Coal City, IL
  • NPI 1134308612
  Medicare reassignment NPD Authorized official
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

• Candlelight Home Healthcare, LLC

  • Home Health Agency
  • Coal City, IL
  • NPI 1972914372
  Care Compare affiliation
• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057
  Care Compare affiliation
• Riverside Medical Center

  • General Acute Care Hospital
  • Kankakee, IL
  • NPI 1538208210
  Care Compare affiliation

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1912919259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W WAVERLY ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501422",
            "telephone_number": "815-634-0529",
            "fax_number": "185-634-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E DIVISION ST",
            "city": "DIAMOND",
            "state": "IL",
            "postal_code": "60416",
            "telephone_number": "815-634-8447",
            "fax_number": "815-634-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURAK",
        "first_name": "DANIEL",
        "middle_name": "MARTIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036086918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS BC/BS",
            "identifier": "0003220011",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086918",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamond Medical and Therapy Group, S.C.
• Dr. Joseph Campobasso, P.C.
• Shawn Franzetti, FNP
• Kristopher D Harrison, PHYSICAL THERAPY
• Ann Marie Jongsma, LCSW
• Hilary E Kohs, LCSW, ACSW
• Angela June Kostner, APN-CNP
• Life Compass Behavioral Health and Wellness, P.C.
• Mending Hearts Therapy
• Morris Hospital

• Family Medicine Physician in Diamond, IL
• Providers in Diamond, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.

Verify at the official NPI Registry.