MARC SANDROLINI (NPI# 1861669632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861669632 |
| Entity Type | Individual |
| Full Name | MARC SANDROLINI |
| Credential | M.D. |
| Practice Address |
1140 Lake St Suite 302 Oak Park IL 60301-1049 |
| Practice Telephone | 3124924540 |
| Practice Fax Number | 3122779540 |
| Mailing Telephone | 3124924540 |
| Mailing Fax Number | 3122779540 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36085142 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1140 LAKE ST SUITE 302 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508859521 | Thomas J Rostafinski | Psychologist | 1140 Lake St, Suite 508, Oak Park, IL 60301-1053 | 2005-08-24 |
| 1922347608 | Esther S. Brodsky | Social Worker | 1140 Lake St, Ste. 401, Oak Park, IL 60301-1049 | 2013-01-31 |
| 1396912721 | Tobias Healing Institute LLC | Internal Medicine | 1140 Lake St, Suite 204, Oak Park, IL 60301-1049 | 2008-05-14 |
| 1922283472 | Marguerite Drennan | Social Worker | 1140 Lake St, Suite 1140, Oak Park, IL 60301-1049 | 2008-01-03 |
| 1427267798 | Zhihong Li | Acupuncturist | 1140 Lake St, Suite 402, Oak Park, IL 60301-1049 | 2007-05-22 |
| 1770707507 | Steven C Meyer | Social Worker | 1140 Lake St, Suite #302, Oak Park, IL 60301-1049 | 2007-04-12 |
| 1013036110 | Joan Louise Winston | Social Worker | 1140 Lake St, Suite 504, Oak Park, IL 60301-1049 | 2007-03-28 |
| 1598893182 | Ruth S. Engel | Social Worker | 1140 Lake St, 306, Oak Park, IL 60301-1049 | 2007-03-02 |
| 1407981632 | Jerome Damasco | Social Worker | 1140 Lake St, Suite 302, Oak Park, IL 60301-1049 | 2007-02-21 |
| 1134264286 | Bridgemark Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1140 Lake St, Suite 410, Oak Park, IL 60301-1049 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669546131 | Walter A Pedemonte | Psychiatry & Neurology | 6551 North Ave, Oak Park, IL 60302-1020 | 2006-11-17 |
| 1871567107 | Kim Marie Dellangela | Psychiatry & Neurology | 252 Home Ave, Oak Park, IL 60302-3102 | 2006-02-14 |
| 1487103453 | William E.p. Mcmiller, Md & Associates LLC | Psychiatry & Neurology | 18 Lake St, Oak Park, IL 60302-2606 | 2016-09-30 |
| 1942491519 | Maria Cecilia Dahn | Psychiatry & Neurology | 1103 Westgate St, #203, Oak Park, IL 60301-1088 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARC SANDROLINI.
| 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.