Marvin J Pitluk & Associates LTD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

060000781 Issued in IL

Legal business name

MARVIN J PITLUK & ASSOCIATES LTD

Practice address

477 Hawthorn LN
Winnetka, IL 60093-4247

Phone

(847) 446-1985

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marvin J Pitluk, PHD

Title

President

Phone

(847) 446-1985

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1073546008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 HAWTHORN LN",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934247",
            "telephone_number": "847-446-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 HAWTHORN LN",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600934247",
            "telephone_number": "847-446-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN J PITLUK & ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "PITLUK",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-446-1985",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "060000781",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": "071000272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01672044",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mainstay, Inc,
• Roman W Mandzij, DO
• Cathleen Marie Margolin, PH.D.
• Joshua F. Mark, LCSW
• Andrea C Marti, DPT
• Oren P Matteson
• Colleen May, BCBA
• Marjorie H Mayer, MD
• Madelyn Mays, LSW
• John Charles McArthur, DDS

• Psychologist in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.