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Deactivated NPI 1720086903 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald Walter Chodak , MD

Urology • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Chodak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2005
NPI Deactivation Date November 13, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Chodak, MD was a registered Urology practicing in Chicago, IL. Throughout an active medical career spanning 14 years, Dr. Chodak provided care at the practice location at 4646 N MARINE DR until profile deactivation on 2019-11-13.

Practice Location & Contact Primary Location

Practice Address

4646 N Marine Dr
Suite A 5500

Chicago, IL 606405759

Telephone 7735645006
Fax 7735645007
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 26.7 Yrs
Regional Practice Density
205 Specialists

Practicing in Chicago, IL (663 Statewide)

Telehealth Adoption Rate
27.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036063301

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003018177

Doctor of Medicine (M.D.)

NPI 1013697465

Doctor of Medicine (M.D.)

Amro Taha

Internal Medicine

NPI 1023771128
NPI 1033129507

Doctor of Medicine (M.D.)

Dr. Michele Delsignore , DO

Psychiatry & Neurology - Neurology

NPI 1043495237

Doctor of Osteopathic Medicine (D.O.)

Lainie O'donnell , MA, CCC-SLP

Speech-Language Pathologist

NPI 1043569106

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2019

Record deactivated on November 13, 2019

NPI Profile Active September 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 13, 2012

Registered at 4646 N MARINE DR, SUITE A 5500, CHICAGO, IL 606405759 (Tel: 7735645006)

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Updated Business Mailing Address September 13, 2012

Registered at 4646 N MARINE DR, SUITE A 5500, CHICAGO, IL 606405759 (Tel: 7735645006)

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Provider Name / Credentials Updated September 13, 2012

Recorded as GERALD CHODAK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2012

Urology (License #036063301 in IL)

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Initial NPI Registration & Enumeration July 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720086903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: September 13, 2012
Deactivation Date: November 13, 2019

Mailing Address

4646 N Marine Dr, Suite A 5500

Chicago, IL 606405759

Phone: 7735645006

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.