Active NPI
Paul Schnoll Mesnick, MD
- Legal Medicine
- Chicago, IL
National Provider Identifier
1104285741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 036047701
- Practice address
- 1530 N Dearborn Pkwy
Chicago, IL 60610-1446 - Phone
- (312) 266-1469
- NPI assigned
- Feb 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 036047701 | IL | Primary |
Addresses
Primary practice location
1530 N Dearborn Pkwy
Chicago, IL 60610-1446
Mailing address
1530 N Dearborn Pkwy
Chicago, IL 60610-1446
Phone (312) 266-1469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036047701 | Medicaid | IL |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036047701 | IL | MD | Legal Medicine |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1104285741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 N DEARBORN PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101446",
"telephone_number": "312-266-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 N DEARBORN PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101446",
"telephone_number": "312-266-1469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESNICK",
"first_name": "PAUL",
"middle_name": "SCHNOLL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "IL",
"license": "036047701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036047701",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.