MARVIN PRIMACK (NPI# 1538140355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538140355 |
Entity Type | Individual |
Full Name | MARVIN PRIMACK |
Credential | MD |
Practice Address |
100 Village Grn Suite 120 Lincolnshire IL 60069-3094 |
Practice Telephone | 8476341766 |
Practice Fax Number | 8476342894 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 03605496 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356367262 | Marvin Herbert Primack | Anesthesiology | 521 S Ham Ln, Suite F, Lodi, CA 95242-3528 | 2006-07-14 |
Street Address |
100 VILLAGE GRN SUITE 120 |
City | LINCOLNSHIRE |
State | IL |
Zip Code | 60069-3094 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255329801 | Mark Alan Neault | Orthopaedic Surgery | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2005-10-07 |
1811439086 | Rachel Eileen Lattner | Nurse Practitioner | 100 Village Grn, Lincolnshire, IL 60069-3094 | 2016-11-04 |
1811331630 | Biji Sarah Samuel | Physical Therapist | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2013-04-23 |
1871843094 | Kelly R Coaty | Specialist/Technologist | 100 Village Grn, Suite 120 B, Lincolnshire, IL 60069-3094 | 2012-09-14 |
1760741193 | Donna Christine Sadeghloo | Physical Therapist | 100 Village Grn, Suite # 120-b, Lincolnshire, IL 60069-3094 | 2012-05-04 |
1649539115 | Jason Michael Thavenet | Occupational Therapist | 100 Village Grn, Suite 120b, Lincolnshire, IL 60069-3094 | 2012-05-03 |
1548456833 | Olson Psycare PC | Psychiatry & Neurology | 100 Village Grn, Ste 220, Lincolnshire, IL 60069-3094 | 2007-09-20 |
1356405179 | David M. Riniker | Occupational Therapist | 100 Village Grn, Suite 120b, Lincolnshire, IL 60069-3094 | 2006-12-19 |
1174686133 | Complete Orthopaedic Care, LLC. | Specialist | 100 Village Grn, Ste 120, Lincolnshire, IL 60069-3094 | 2006-12-19 |
1265411326 | Marcus Gregory Talerico | Orthopaedic Surgery | 100 Village Grn, #120, Lincolnshire, IL 60069-3094 | 2006-01-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
1790123164 | Ann Cameron Cameron Schieber | Dermatology | 275 Parkway Drive, Suite 521, Lincolnshire, IL 60069 | 2013-06-07 |
1952676405 | Senior Care Physicians of Illinois, S.c. | Internal Medicine | 80 Audubon Way, Lincolnshire, IL 60069 | 2012-03-16 |
1134432537 | Daniel Sorkin, Psy.d., LLC | Psychologist | 430 North Milwaukee Avenue, Suite 15, Lincolnshire, IL 60069 | 2010-07-14 |
1538309836 | Lowela Kho Palomares | Physical Therapist | 800 Audobon Way, Lincolnshire, IL 60069 | 2009-02-26 |
1962657890 | Lincolnshire Senior Care LLC | Skilled Nursing Facility | 960 Audubon Way, Rose Court, Lincolnshire, IL 60069 | 2008-11-19 |
1184885964 | Kristina Marie Ward | Pediatrics | 185 N. Milwaukee Ave, Suite 220, Lincolnshire, IL 60069 | 2008-06-24 |
1922159508 | Dolores Imroth Braun | Counselor | 24 Wimbledon Ct, Lincolnshire, IL 60069 | 2007-01-12 |
1588738439 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 300 Village Grn Ste 205, Lincolnshire, IL 60069 | 2006-11-20 |
1164439030 | Leanne Reed | Physical Therapist | 2525 Waukegan Rd #255, Bannockburn, IL 60069 | 2006-08-02 |
Find all providers in zip 60069 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659325389 | Jamal Ahmad | Orthopaedic Surgery | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2006-05-19 |
1255329801 | Mark Alan Neault | Orthopaedic Surgery | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2005-10-07 |
1124399449 | Diego Cole Villacis | Orthopaedic Surgery | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 | 2012-01-18 |
1376747188 | Junaid Makda | Orthopaedic Surgery | 100 Village Grn Ste 120, Lincolnshire, IL 60069-3095 | 2007-06-14 |
1265411326 | Marcus Gregory Talerico | Orthopaedic Surgery | 100 Village Grn, #120, Lincolnshire, IL 60069-3094 | 2006-01-17 |
1952390742 | Joseph Alfred Meis | Orthopaedic Surgery | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2005-10-14 |
1487642989 | Charles Edward Frank | Orthopaedic Surgery | 100 Village Grn, Suite 120, Lincolnshire, IL 60069-3094 | 2005-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
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City | LINCOLNSHIRE |
Zip Code | 60069 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.