DALE ZIGULICH
NPI 1639736671
Social Worker in Chicago, IL

Q: What is Dale Zigulich's NPI number?

The NPI number for Dale Zigulich is 1639736671. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Q: What is Dale Zigulich's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Dale Zigulich enrolled in Medicare?

No. Dale Zigulich has opted out of Medicare through April 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Dale Zigulich was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 May 24, 2019Opted out of Medicare · through Apr 16, 2028

2755 N PINE GROVE AVE, CHICAGO, IL 60614(312) 399-8428 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 27, 2023, May 24, 2019 (2 updates tracked since 2019).

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About Dale Zigulich NPPES

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

DALE ZIGULICH (NPI 1639736671) is an individual social worker in Chicago, Illinois and active in the NPI registry since May 2019. He has opted out of Medicare through April 16, 2028.

NPPES Registry Identity

NPI1639736671

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameDALE ZIGULICH

Location Address2755 N PINE GROVE AVEChicago, IL 60614-6109

Mailing Address108 Pine AveRiverside, IL 60546-2105 · (312) 399-8428

Phone(312) 399-8428

Sole ProprietorNo

Enumeration DateMay 24, 2019

Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1639736671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2755 N PINE GROVE AVE, Chicago, IL 60614

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dale Zigulich has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 16, 2024 through April 16, 2028.

Opt-Out Effective DateApril 16, 2024

Opt-Out In Effect ThroughApril 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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