JEREMY D MARKS (NPI# 1962552901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962552901 |
| Entity Type | Individual |
| Full Name | JEREMY D MARKS |
| Credential | MD |
| Practice Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Mailing Address |
5841 S Maryland Ave # Mc1099 Chicago IL 60637-1447 |
| Practice Telephone | 7738344064 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
180 HARVESTER DR STE 110 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-6686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487346 | Rajlakshmi Krishnamurthy | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-07-13 |
| 1679068555 | Sanjiv Kumar Hyoju | Surgery | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2018-06-24 |
| 1386030245 | Rachel Strykowski | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2015-04-07 |
| 1225464290 | Iazsmin Bauer Ventura | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, Burr Ridge, IL 60527-6686 | 2013-09-22 |
| 1932442456 | Elizabeth Quinn Starker | Anesthesiology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2013-04-03 |
| 1164776639 | Anna Biernacka | Pathology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2012-11-05 |
| 1639467087 | Bryan Alan Campbell | Hospitalist | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-07-19 |
| 1578852497 | Jonathan Lio | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-03-31 |
| 1225330061 | Shirley Stephenson | Nurse Practitioner | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2010-11-30 |
| 1689829285 | Lazaro Nelson Sanchez-pinto | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2008-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093865040 | Jean Marie Schied | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| 1902956956 | Michael Schreiber | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| 1639229685 | Jaideep K Singh | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| 1437209475 | Leslie Caldarelli | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| 1255481297 | Erika Claud | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| 1730239773 | Aisha Jameel | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| 1649320680 | William Jordan | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 | 2007-01-11 |
| 1356491302 | Kwang-sun Lee | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| 1871643817 | William L Meadow | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043767841 | Gail Sharon Haiken | Pediatrics | 5303 Regents Park Rd, Rockford, IL 61107-5092 | 2016-09-08 |
| 1871910976 | Jessica Lahn Chiang | Pediatrics | 1775 Dempster St # 54, Park Ridge, IL 60068-1143 | 2014-03-26 |
| 1669806667 | Ricardo Tomas Rosenkranz | Pediatrics | 1200 N Lake Shore Dr, Apt. 904, Chicago, IL 60610-2370 | 2013-08-26 |
| 1063845626 | Kala Sukerkar | Pediatrics | 2406 Indian Ridge Dr, Glenview, IL 60026-1030 | 2013-08-18 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1447516257 | John Vincent Hartline | Pediatrics | 1259 Prestwick Ln, Itasca, IL 60143-1975 | 2012-04-05 |
| 1780979302 | Kelly Nelson Kelly | Pediatrics | 5841 S Maryland Ave # Mc6060, Chicago, IL 60637-1447 | 2011-06-11 |
| 1255623997 | Venkata Sasidhar Majjiga | Pediatrics | 301 N 8th Street, Siu School of Medicine, Pediatrics, Room 3a169, Springfield, IL 62794 | 2011-05-13 |
| 1700187531 | Ursula Patricia Colareta Ugarte | Pediatrics | 1444 Carol St Apt A, Park Ridge, IL 60068-1290 | 2010-11-10 |
| Find all providers with the same taxonomy | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
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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.