Marko J Jachtorowycz (NPI# 1073597894, PAC ID# 9436161429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UNDEFINED PHYSICIAN TYPE (SPECIFY).
| Nation Provider ID (NPI) | 1073597894 |
| PAC ID by PECOS | 9436161429 |
| Professional Enrollment ID | I20060609000153 |
| Full Name | Marko J Jachtorowycz |
| Organization Legal Name | METRO CHICAGO SURGICAL ONCOLOGY LLC |
| Address |
3201 Old Glenview Rd Wilmette IL 60091-2964 |
| Phone Number | 8476736505 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7214107069 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140080 | PRESENCE SAINT FRANCIS HOSPITAL |
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| 140117 | PRESENCE RESURRECTION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7435 W Talcott Ave, Chicago, IL 60631-3707 | 7737748000 | METRO CHICAGO SURGICAL ONCOLOGY LLC |
| 355 Ridge Ave, Evanston, IL 60202-3328 | 8473164000 | METRO CHICAGO SURGICAL ONCOLOGY LLC |
| 800 Austin St, Suite 569e, Evanston, IL 60202-3456 | 8473285600 | METRO CHICAGO SURGICAL ONCOLOGY LLC |
| 3201 Old Glenview Rd, Wilmette, IL 60091-2964 | 8476736505 | METRO CHICAGO SURGICAL ONCOLOGY LLC |
| 3201 Old Glenview Rd, Suite 205, Wilmette, IL 60091-2999 | 8476736505 | METRO CHICAGO SURGICAL ONCOLOGY LLC |
| Organization Legal Name | METRO CHICAGO SURGICAL ONCOLOGY LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fadi A Habib | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Robert D Zimmerman | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Neil R Friedman | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2964 |
| Mark Schacht | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| John Thomas Leyland Ii | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| John Vincent Knaus | Gynecological Oncology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Allen M Chernoff | Urology | Metro Chicago Surgical Oncology LLC | 9600 Gross Point Rd, Skokie, IL 60076-1214 |
| Thomas C Malvar | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Nitin Sharma | Urology | Metro Chicago Surgical Oncology LLC | 1 Erie Ct, Suite 4030, Oak Park, IL 60302-2510 |
| Peter T Vaselopulos | Urology | Metro Chicago Surgical Oncology LLC | 9600 Gross Point Rd, Skokie, IL 60076-1214 |
| Street Address |
3201 OLD GLENVIEW RD |
| City | WILMETTE |
| State | IL |
| Zip | 60091-2964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fadi A Habib | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Robert D Zimmerman | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Neil R Friedman | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2964 |
| Mark Schacht | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| John Thomas Leyland Ii | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| John Vincent Knaus | Gynecological Oncology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Thomas C Malvar | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Timothy C Hollister | Radiation Oncology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Suite 130, Wilmette, IL 60091-2964 |
| Randall F Randazzo | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Suite 205, Wilmette, IL 60091-2999 |
| George R Sosenko | Urology | Metro Chicago Surgical Oncology LLC | 3201 Old Glenview Rd, Wilmette, IL 60091-2964 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Stukalov | Anesthesiology | Windy City Anesthesia PC | 3612 Lake Ave, Wilmette, IL 60091-1000 |
| Lisa C Verderber | Ophthalmology | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 | |
| Deborah R Fishman | Ophthalmology | Pediatric Eye Associates PC | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 |
| Danica Buric | Physical Therapy | Center for Physical Therapy Inc. | 3545 Lake Ave, Suite 100, Wilmette, IL 60091-1058 |
| Nanci J Priest | Clinical Social Worker | Family Service Center of Wilmette Glenview Northbrook Kenilworth | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 |
| Renee Z Dominguez | Psychologist, Clinical | Family Service Center of Wilmette Glenview Northbrook Kenilworth | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 |
| Robin L Lake | Clinical Social Worker | Family Service Center of Wilmette Glenview Northbrook Kenilworth | 3545 Lake Ave, Suite 200, Wilmette, IL 60091-1058 |
| Michael L Belba | Chiropractic | 3207 Lake Ave, Suite 5a, Wilmette, IL 60091-1070 | |
| Joel Sammarco | Chiropractic | 3207 Lake Ave, 5a, Wilmette, IL 60091-1070 | |
| William Piccione | Vascular Surgery | 1000 Skokie Blvd, Suite 360, Wilmette, IL 60091-1146 | |
| Find all physicians in zip 60091 | |||
| City | WILMETTE |
| Zip Code | 60091 |
| Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| City + Specialty | WILMETTE + UNDEFINED PHYSICIAN TYPE (SPECIFY) |
Please comment or provide details below to improve the information on Marko J Jachtorowycz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.