Mark Payares

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016136 Issued in IL

Practice address

6000 W Touhy Ave Ste 202
Chicago, IL 60646-1248

Phone

(773) 774-4291

Fax

(773) 774-4527

NPI assigned

Dec 11, 2007

Last updated

Apr 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1205019304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W TOUHY AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461248",
            "telephone_number": "773-774-4291",
            "fax_number": "773-774-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYARES",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Payaggapandha
• Payam Rezai DDS PC
• Payam Zarei DDS-West Village Dental PC
• Faranak Payandeh
• Misha Josef Payant, L.AC., D.AC
• Koosha Paydary, MD
• Kayla Paye, MS, OTR/L
• Meredith L Payne Trost, OT
• Arlett Payne
• Azzie Payne, FNP-C

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.