JOHN ERNZEN
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL

Address: 840 S Wood St, Chicago, IL 60612-4325

JOHN ERNZEN is a physician enrolled with Centers for Medicare & Medicaid Services (CMS). The enrollment date is December 30, 2021.

Physician Overview

JOHN ERNZEN is a psychiatry enrolled with Centers for Medicare & Medicaid Services (CMS). The business address is 840 S Wood St, Chicago, IL 60612-4325.

Enrollment Information

NPI 1346615663 Nation Provider Identifier (NPI)
National Plan and Provider Enumeration System (NPPES)
PAC ID 1759714454 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20211230000573
Full Name JOHN ERNZEN
Gender M
Medical School NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year 2019
Primary Specialty PSYCHIATRY
Address 840 S Wood St
Chicago
IL 60612-4325
Professional Accepts Medicare Assignment M - May accept Medicare Assignment
Group Accepts Medicare Assignment M - May accept Medicare Assignment

Provider Overview

NPI 1346615663 Nation Provider Identifier (NPI)
National Plan and Provider Enumeration System (NPPES)
Provider Name JOHN ERNZEN
Address 225 E Chicago Ave
Chicago
IL 60611-2991
Classification Student in an Organized Health Care Education/Training Program
Taxonomy Code 390200000X
Enumeration Date 2015-12-11

Claims Based Hospital Affiliation

Claim Control Number (CCN)Legal Business Name
140150UNIVERSITY OF ILLINOIS HOSPITAL

Organization Information

Address 840 S Wood St
Chicago
IL 60612-4325
Medical School NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL

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Location Information

Street Address 840 S WOOD ST
City CHICAGO
State IL
Zip Code 60612-4325

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Urszula Wysocka Piesiewicz Nurse PractitionerThe Board of Trustees of The University of Illinois840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325
Mimis N Cohen Plastic and Reconstructive SurgeryThe Board of Trustees of The University of Illinois840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325
Michael David Han Oral SurgeryThe Board of Trustees of The University of Illinois840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325
Philip F Giampietro Medical Genetics and GenomicsThe Board of Trustees of The University of Illinois840 S Wood St, Chicago, IL 60612-4325
Mario Spaggiari General SurgeryThe Board of Trustees of The University of Illinois840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325
Saul J Weiner Internal MedicineThe Board of Trustees of The University of Illinois840 S Wood St, 856 Uic Pediatrics, Chicago, IL 60612-4325
Tibor G Valyi Nagy PathologyThe Board of Trustees of The University of Illinois840 S Wood St, Chicago, IL 60612-4325
Robert J Cabay PathologyThe Board of Trustees of The University of Illinois840 S Wood St, Chicago, IL 60612-4325
Marylee A Braniecki PathologyThe Board of Trustees of The University of Illinois840 S Wood St, Chicago, IL 60612-4325
Andrew Bensel Trotter Infectious DiseaseThe Board of Trustees of The University of Illinois840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Karyn Morgan Nurse PractitionerThe Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
Rodrigo Pagani UrologyThe Board of Trustees of The University of Illinois820 S Wood St Mc, 955 Uic Urology, Chicago, IL 60612-4325
Johnna R Reggi Certified Nurse Midwife (cnm)The Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
Frank Gonzalez Obstetrics/GynecologyThe Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
Julie G Leung Certified Nurse Midwife (cnm)The Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
Danielle Kraessig Certified Nurse Midwife (cnm)The Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
Erica Hinz Obstetrics/GynecologyThe Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
Jonah D Fleisher Obstetrics/GynecologyThe Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
Catherine Nicole Wheatley Obstetrics/GynecologyThe Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
Katherine E Erbe Certified Nurse Midwife (cnm)The Board of Trustees of The University of Illinois820 S Wood St, Chicago, IL 60612-4325
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Julie A Carbray Nurse PractitionerThe Board of Trustees of The University of Illinois1747 W Roosevelt Rd, Chicago, IL 60612-1264
Stephanie Atoyebi PodiatryHousecall Physicians of Illinois Sc2003 W Fulton St, Suite 303, Chicago, IL 60612-2345
Mahmoud M Okash Thoracic SurgeryHousecall Physicians of Illinois Sc2003 W Fulton St, Suite 303, Chicago, IL 60612-2345
Ester Sigurdardottir Psychologist, ClinicalHousecall Physicians of Illinois Sc2003 W Fulton St, Suite 303, Chicago, IL 60612-2345
Monica Lisa Bieszczad Nurse PractitionerHousecall Physicians of Illinois Sc2003 W Fulton St, Suite 303, Chicago, IL 60612-2345
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Dataset Information

This dataset includes 1.5 million individual physicians, and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction United States