DR. JACK S. ZOLDAN (NPI# 1770544629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770544629 |
| Entity Type | Individual |
| Full Name | DR. JACK S. ZOLDAN |
| Credential | M.D. |
| Practice Address |
5015 N Paulina St Suite 315 Chicago IL 60640-2756 |
| Practice Telephone | 7735616573 |
| Practice Fax Number | 7735618323 |
| Mailing Telephone | 7735616573 |
| Mailing Fax Number | 7735618323 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2010-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036053375 | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036053375 | 05 |
| Street Address |
5015 N PAULINA ST SUITE 315 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407118227 | Jay Anesthesia and Pain Management LLC | Anesthesiology | 5015 N Paulina St, Chicago, IL 60640-2756 | 2012-06-08 |
| 1629375589 | Suresh V.shingala Md Ltd | Internal Medicine | 5015 N Paulina St, 214, Chicago, IL 60640-2756 | 2011-02-11 |
| 1528216538 | Ravenswood Dental Group | Dentist | 5015 N Paulina St, Suite 330, Chicago, IL 60640-2756 | 2008-09-03 |
| 1558536367 | Barnabas Medical Associates Sc | Internal Medicine | 5015 N Paulina St, Suite 225, Chicago, IL 60640-2756 | 2008-04-23 |
| 1396962528 | Michael J Gainer | Psychologist | 5015 N Paulina St, Ste. 310, Chicago, IL 60640-2756 | 2007-04-19 |
| 1689891830 | Michael J. Gainer, Ph.d., P.C. | Psychologist | 5015 N Paulina St, Ste. 310, Chicago, IL 60640-2756 | 2007-04-19 |
| 1609090661 | Jack Zoldan, Md Ltd | Specialist | 5015 N Paulina St, Suite 315, Chicago, IL 60640-2756 | 2007-04-12 |
| 1861576498 | Henry Louis Lotsof | Dentist | 5015 N Paulina St, Suite 330, Chicago, IL 60640-2756 | 2006-10-24 |
| 1518041128 | Susan M. Phillips | Dentist | 5015 N Paulina St, #330, Chicago, IL 60640-2756 | 2006-10-24 |
| 1568558815 | Dr Mario Oliveros P.C. | Internal Medicine | 5015 N Paulina St, Suite 218, Chicago, IL 60640-2756 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| 1841774825 | Matthew E Huggins | Specialist | 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 | 2018-09-17 |
| 1750860177 | Muhammad Asim Khan | Specialist | 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 | 2018-08-07 |
| 1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
| 1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
| 1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
| 1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
| 1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.