Marshall I Matz & David M Shenker MDSC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036039812 Issued in IL

Legal business name

MARSHALL I MATZ & DAVID M SHENKER MDSC

Practice address

1431 N Western Ave
Suite 306
Chicago, IL 60622-1797

Phone

(312) 332-2226

Fax

(773) 276-1197

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marshall I Matz, M.D.

Title

President

Phone

(312) 332-2226

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1174679252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "312-332-2226",
            "fax_number": "773-276-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "312-332-2226",
            "fax_number": "773-276-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL I MATZ & DAVID M SHENKER MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MATZ",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-332-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036039812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01615166",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Marsh, CADC
• Marsha E. Gorens, M.D.
• Sara Addis Marsha, M.A.
• Alex Marshalkovich, O.D.
• Marshall Family Wellness LLC
• Marshall I Matz MD SC
• Marshall Psychotherapy PLLC
• Marshall S. Olech, DDS,PC
• Marshall Sparberg, MD, LTD
• Beth M Marshall-Bergman, D.O.

• Neurology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.