NPIMap

Individual provider Active NPI

Arthur Itkin, M.D.

  • Neurology Physician
  • Palos Heights, IL
National Provider Identifier
1184634974
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036083254 Issued in IL
Practice address
7600 W College Dr Ste 5
Palos Heights, IL 60463-1035
Phone
(708) 485-4663
Fax
(708) 671-8387
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036083254 IL Primary

Addresses

Primary practice location

7600 W College Dr Ste 5
Palos Heights, IL 60463-1035

Mailing address

7600 W College Dr Ste 5
Palos Heights, IL 60463-1035
Phone (708) 485-4663

Other practice location 1

11824 Southwest Hwy
Suite 100
Palos Heights, IL 60463-1055
Phone (708) 361-0222

Other identifiers 1

IdentifierTypeStateIssuer
036083254MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000181 IL Practitioner - Neurology 3072596386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Chicago, Pritzker School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurologic and Headache ClinicGroup PAC ID 6709210552, 2 clinicians

Practice addresses (Care Compare)

7600 W College Dr
Suite 5
Palos Heights, IL 60463-1035
Phone (708) 361-4520

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036083254ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurologic and Headache Clinic CurrentSince Dec 1, 2019 Accepting new patients

Locations

7600 W College Dr
Ste 5
Palos Heights, IL 60463
Phone (708) 361-4520

11824 Southwest Hwy
Ste 100
Palos Heights, IL 60463
Phone (708) 361-0222

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1184634974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR STE 5",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631035",
            "telephone_number": "708-485-4663",
            "fax_number": "708-671-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR STE 5",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631035",
            "telephone_number": "708-485-4663",
            "fax_number": "708-671-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11824 Southwest Hwy",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631055",
            "country_code": "US",
            "telephone_number": "708-361-0222",
            "fax_number": "708-361-4536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITKIN",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036083254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083254",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.