CAROLYN R ZIC
NPI 1073152989
Nurse Practitioner - Family in Chicago, IL

Q: What is Carolyn Zic's NPI number?

The NPI number for Carolyn Zic is 1073152989. It was assigned to this individual provider in the NPPES registry on December 26, 2019.

Q: What is Carolyn Zic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Zic was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 26, 2019PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Oct 24, 2022, May 19, 2022 and 3 more (6 updates tracked since 2019).

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About Carolyn R Zic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN R ZIC (NPI 1073152989) is an individual family provider in Chicago, Illinois, licensed in Illinois (209020632) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1073152989

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCAROLYN R ZIC

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr, Suite 300Burr Ridge, IL 60527-5919

Phone(888) 824-0200

Sole ProprietorNo

Enumeration DateDecember 26, 2019

Last NPPES UpdateNovember 20, 20246 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1073152989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209020632

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209020632 (IL)

5841 S MARYLAND AVE, Chicago, IL 60637

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Secondary Practice Location 1

Location 11675 Dempster St Fl 2Park Ridge, IL 60068-1110 · Phone (847) 318-9330 · Fax (847) 723-9051

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn R Zic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DON MARTINEZ M.D.

Radiology (Diagnostic Radiology)