Individual provider Active NPI

Brian James Stojak, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1932634003
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036152245 Issued in IL
Practice address
5346 N Clark St
Chicago, IL 60640-2120
Phone
(773) 293-8880
Fax
(773) 293-8843
NPI assigned
Apr 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036152245 IL Primary

Addresses

Primary practice location

5346 N Clark St
Chicago, IL 60640-2120

Mailing address

5346 N Clark St
Chicago, IL 60640-2120
Phone (773) 293-8880

Other practice location 1

2019 W Irving Park Rd
Chicago, IL 60618-3909
Phone (773) 293-8787

Other practice location 2

6141 N Cicero Ave
Chicago, IL 60646-4303
Phone (773) 293-8788

Other practice location 3

9977 Woods Dr Ste 100
Skokie, IL 60077-1057
Phone (224) 364-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bstojak279070@direct.northshore.org

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
I20201023000689 IL Practitioner - Family Practice 7719258052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

5346 N Clark St
The Clark
Chicago, IL 60640-2120
Phone (773) 293-8880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036152245ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc CurrentSince Oct 17, 2020 Accepting new patients
Swedish Covenant Management Services, Inc. Family Medicine Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 21, 2021 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Jun 21, 2021 Accepting new patients

Locations

2019 W Irving Park Rd
Chicago, IL 60618
Phone (773) 293-8787

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

9532 Eagle Way
Chicago, IL 60678

6141 N Cicero Ave
Chicago, IL 60646
Phone (773) 293-8788

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

9977 Woods Dr
Ste 100
Skokie, IL 60077
Phone (847) 663-8350

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 2

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1932634003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5346 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402120",
            "telephone_number": "773-293-8880",
            "fax_number": "773-293-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5346 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402120",
            "telephone_number": "773-293-8880",
            "fax_number": "773-293-8843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606183909",
            "country_code": "US",
            "telephone_number": "773-293-8787",
            "fax_number": "773-293-8793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6141 N Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606464303",
            "country_code": "US",
            "telephone_number": "773-293-8788",
            "fax_number": "773-293-8791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9977 Woods Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771057",
            "country_code": "US",
            "telephone_number": "224-364-2273",
            "fax_number": "847-663-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOJAK",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036152245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bstojak279070@direct.northshore.org",
            "affiliation": "N",
            "address_1": "6141 N Cicero Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606464303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.