NPI

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NPI 1447584990

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2009-09-30
Last updated
2019-05-03

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Specialties

Licenses

License IL
12162610

Location

Practice location
3605 W. Fillmore St.
City
Chicago IL
Postal code
60624-4309
Phone
(773) 588-0180

Organization contact

Name
Zack Schrantz
Title
President/CEO
Phone
(773) 588-0180

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Chicago, IL. 81,186 records in the public file.

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