MARC J BRESLOW (NPI# 1619961927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619961927 |
| Entity Type | Individual |
| Full Name | MARC J BRESLOW |
| Credential | M.D. |
| Practice Address |
9000 Waukegan Rd Suite 200 Morton Grove IL 60053-2127 |
| Mailing Address |
900 Rand Rd Ste 300 Suite 200 Des Plaines IL 60016-2359 |
| Practice Telephone | 8473753000 |
| Mailing Telephone | 8473753000 |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 036-104096 | IL | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
036-104096 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
9000 WAUKEGAN RD SUITE 200 |
| City | MORTON GROVE |
| State | IL |
| Zip Code | 60053-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367482 | Jonathan Garrett | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2005-06-24 |
| 1841732310 | Maris Clinebell | Physical Therapy Assistant | 9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053-2127 | 2016-11-15 |
| 1801345228 | Kathryn Spingola | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2016-09-27 |
| 1528513397 | Allison Radziewicz | Physical Therapy Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2016-08-22 |
| 1215300595 | Chelsea Rickert | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2015-11-09 |
| 1679942601 | Nusaybah Ismail | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2015-09-21 |
| 1538564869 | Elizabeth Durham | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2014-10-29 |
| 1902209224 | William Rowland | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2014-10-01 |
| 1972904050 | Jesse Matsubara | Physical Therapist | 9000 Waukegan Rd, Suite 100, Morton Grove, IL 60053-2127 | 2014-09-09 |
| 1487054771 | Chad Anderson | Physician Assistant | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536206 | 360 Rehabilitation & Physical Therapy LLC | Clinic/Center | 9041 Moody Avenue, Morton Grove, IL 60053 | 2019-09-06 |
| 1205312147 | Ziing Healthcare, Inc | Nursing Care | 6126 Lincoln Ave, Suite 1010, Morton Grove, IL 60053 | 2018-07-13 |
| 1578053674 | Megan Ruffalo | Home Health | 8922 Marion Ave, Morton Grove, IL 60053 | 2018-05-14 |
| 1215441381 | Kristen Marie Kowalski | Occupational Therapist | 8145 River Dr Ste 101, Morton Grove, IL 60053 | 2017-11-27 |
| 1760846190 | Lukasz Jarosinski | Physical Therapy Assistant | 8425 N Waukegan, Morton Grove, IL 60053 | 2016-04-12 |
| 1538547898 | Alysha Gillani | Behavioral Analyst | 9240 Merrill Ave, Morton Grove, IL 60053 | 2015-05-07 |
| 1043578909 | Jordan Jon Wolf | Social Worker | 9224 Cameron Lane, Morton Grove, IL 60053 | 2012-04-30 |
| 1427217454 | Amy Sakoda | Specialist | 9400 N Orile, Morton Grove, IL 60053 | 2008-06-05 |
| 1063679348 | Minsook Do Kroon | Chiropractor | 6021 W Dempster, Morton Grove, IL 60053 | 2008-05-22 |
| 1023282217 | Simona Balan | Dentist | 6223 W Dempster St, Morton Grove, IL 60053 | 2008-04-17 |
| Find all providers in zip 60053 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048395 | Dr Ouilife LLC | Orthopaedic Surgery | 640 S Federal St Apt 410, Chicago, IL 60605-1800 | 2020-03-18 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1568851251 | Benjamin Scott Kester | Orthopaedic Surgery | 1725 W Harrison St Ste Rush, Chicago, IL 60612-3841 | 2015-01-18 |
| 1609041565 | Sheryl Lynn Lipnick | Orthopaedic Surgery | 1585 N. Barrington Rd Ste 101, Drs. Bldg. 2, Hoffman Estates, IL 60169-5019 | 2008-04-22 |
| 1295937555 | Gregory Lamar Primus | Orthopaedic Surgery | 7543 183rd St, Tinley Park, IL 60477-6208 | 2007-05-31 |
| 1154454635 | Benjamin Domb | Orthopaedic Surgery | 999 E Touhy Ave Ste 450, Des Plaines, IL 60018-2748 | 2007-03-13 |
| 1518981612 | Sean Daniel Odell | Orthopaedic Surgery | 375 S Roselle Rd, Schaumburg, IL 60193-5544 | 2006-07-26 |
| 1568419463 | Mark K. Bowen | Orthopaedic Surgery | 680 N Lake Shore Dr Ste 924, Chicago, IL 60611 | 2006-05-27 |
| 1639146103 | Jean Benoit Houle | Orthopaedic Surgery | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 2006-03-03 |
| 1093792277 | Scott Eric Urch | Orthopaedic Surgery | 503 E Grant St, Macomb, IL 61455-3313 | 2005-12-28 |
| Find all providers with the same taxonomy | ||||
| City | MORTON GROVE |
| Zip Code | 60053 |
Please comment or provide details below to improve the information on MARC J BRESLOW.
| 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.