Marina Kuznetsova MD SC

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

Legal business name

MARINA KUZNETSOVA MD SC

Practice address

4646 N Marine Dr
Radiation Oncology Department
Chicago, IL 60640-5759

Phone

(773) 564-5070

Fax

(773) 564-5071

NPI assigned

Aug 16, 2006

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marina Kuznetsova, M.D.NPI 1265545271

Title

President

Phone

(773) 564-5070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina A Kuznetsova, M.D.

  • Radiation Oncology Physician
  • Bourbonnais, IL
  • NPI 1265545271
  Authorized official Same address or phone

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1134232135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "address_2": "RADIATION ONCOLOGY DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-5070",
            "fax_number": "773-564-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "address_2": "RADIATION ONCOLOGY DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-5070",
            "fax_number": "773-564-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA KUZNETSOVA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "KUZNETSOVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-564-5070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "01632270",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maximo James Marin Jr., M.D.
• Rebecca Marin, MD
• Sara Marin, MD
• Sean Alden Marin
• Stephanie Marin
• Marine Anesthesia LLC
• Marine Drive Medical Group, LTD
• Alejandra M Marinelarena, MD PHD
• Melissa Ann Marinelli, M.D.
• Richard F Marinello, DDS

• Therapeutic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Therapeutic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.