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

Last updated

Jun 7, 2018By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel Jurak D O S C

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

  dba Gibson Area Hospital and Health Services

  • 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

  dba Morris Hospital & Healthcare Centers

  • 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": [],
    "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 (Morris Hospital & Healthcare Centers)

• 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.