Individual provider Active NPI

Dorothy J Zajac, MD

  • Internal Medicine Physician
  • Chester, IL
National Provider Identifier
1972592210
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
1315 Lehmen Dr
Chester, IL 62233-2542
Phone
(618) 826-4571
Fax
(618) 826-3229
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22841 WI
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

1315 Lehmen Dr
Chester, IL 62233-2542

Mailing address

PO Box 306
120 N Crosby Ave
Janesville, WI 53547-0306
Phone (608) 754-6017

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
I20050610000278 IL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 8820032816 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22841WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Department of Human Services CurrentSince Apr 1, 1996 Accepting new patients
Illinois Department of Human Services Current Accepting new patients
Illinois Department of Human Services CurrentSince Apr 1, 1996 Accepting new patients

Locations

1000 N Main St
Anna, IL 62906
Phone (618) 833-5161

1315 Lehmen Dr
Chester, IL 62233
Phone (618) 826-4571

100 S Grand Ave E
Springfield, IL 62762

Organizations & group practices 3

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972592210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "address_2": "120 N CROSBY AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535470306",
            "telephone_number": "608-754-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 LEHMEN DR",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622332542",
            "telephone_number": "618-826-4571",
            "fax_number": "618-826-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "DOROTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "22841",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, IL

Sources for this page

Verify at the official NPI Registry.