Active NPI
Marina A Birman, PA-C
- Medical Physician Assistant
- Skokie, IL
National Provider Identifier
1184869208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 085003390
- Practice address
- 4555 Oakton St
Skokie, IL 60076-3178 - Phone
- (847) 982-9988
- NPI assigned
- Dec 3, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085003390 | IL | Primary |
Addresses
Primary practice location
4555 Oakton St
Skokie, IL 60076-3178
Mailing address
595 Thornhill Dr Apt 301
Carol Stream, IL 60188-2751
Phone (630) 752-9669
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085003390 | IL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1184869208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 THORNHILL DR APT 301",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882751",
"telephone_number": "630-752-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 OAKTON ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763178",
"telephone_number": "847-982-9988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRMAN",
"first_name": "MARINA",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-03",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085003390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.