Active NPI
Marian Ignacy Olpinski, M.D., PH.D
- Pediatrics Physician
- Elk Grove Village, IL
National Provider Identifier
1013243765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036129163
- Practice address
- 800 Biesterfield Rd Ste 107
Elk Grove Village, IL 60007-3372 - Phone
- (847) 593-9182
- Fax
- (847) 593-3644
- NPI assigned
- Oct 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036129163 | IL | Primary |
Addresses
Primary practice location
800 Biesterfield Rd Ste 107
Elk Grove Village, IL 60007-3372
Mailing address
800 W Biesterfield Rd
Suite 107
Elk Grove Village, IL 60007
Phone (847) 593-9182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036129163 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1013243765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W BIESTERFIELD RD",
"address_2": "SUITE 107",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "60007",
"telephone_number": "847-593-9182",
"fax_number": "847-593-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BIESTERFIELD RD STE 107",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073372",
"telephone_number": "847-593-9182",
"fax_number": "847-593-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLPINSKI",
"first_name": "MARIAN",
"middle_name": "IGNACY",
"name_prefix": "Dr.",
"credential": "M.D., PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-29",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036129163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.