JACK WHITAKER MD
NPI 1508608464
Emergency Medicine in Chicago, IL

Q: What is Jack Whitaker's NPI number?

The NPI number for Jack Whitaker is 1508608464. It was assigned to this individual provider in the NPPES registry on June 11, 2024. The provider is also known as Piers Whitaker.

Q: What is Jack Whitaker's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Whitaker was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2024PECOS Enrolled

1750 W HARRISON ST STE 108, CHICAGO, IL 60612(312) 942-7802 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Jack Whitaker Md NPPES

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

JACK WHITAKER MD (NPI 1508608464) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125.084409) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508608464

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJACK WHITAKERCredential: MD

Location Address1750 W HARRISON ST STE 108Chicago, IL 60612-3825

Mailing Address1750 W Harrison St Ste 108Chicago, IL 60612-3825

Phone(312) 942-7802

Sole ProprietorNo

Enumeration DateJune 11, 2024

NPPES CertifiedJune 10, 2024

✔ NPI 1508608464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 125.084409

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1750 W HARRISON ST STE 108, Chicago, IL 60612

Open in Google Maps ↗

Other Names 1

Former Name (1)Piers Whitaker

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Whitaker Md 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 60612 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 18

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

NICHOLAS CHIEN MD

Emergency Medicine