Individual provider Active NPI

Marsie R Hass, MD

  • Specialist
  • Hazel Crest, IL
National Provider Identifier
1053481911
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036067945 Issued in IL
Practice address
17850 S Kedzie Avenue
Suite 3100
Hazel Crest, IL 60429-2086
Phone
(708) 798-2400
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036067945 IL Primary

Addresses

Primary practice location

17850 S Kedzie Avenue
Suite 3100
Hazel Crest, IL 60429-2086

Mailing address

17850 S. Kedzie Ave
Suite 3100
Hazel Crest, IL 60429-2086
Phone (708) 798-2400

Other identifiers 1

IdentifierTypeStateIssuer
036067945MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Nov 1, 2011 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 1, 2011 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

17850 Kedzie Ave
Ste 3100
Hazel Crest, IL 60429
Phone (708) 798-2400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1053481911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17850 S. KEDZIE AVE",
            "address_2": "SUITE 3100",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292086",
            "telephone_number": "708-798-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 S KEDZIE AVENUE",
            "address_2": "SUITE 3100",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292086",
            "telephone_number": "708-798-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASS",
        "first_name": "MARSIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036067945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067945",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.