Active NPI
Eugene E. Saltzberg, M.D.
- Emergency Medicine Physician
- Highland Park, IL
National Provider Identifier
1215939798
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective May 11, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-048986
- Practice address
- 265 Ravine Drive
Highland Park, IL 60035 - Phone
- (847) 432-2856
- Fax
- (847) 780-4522
- NPI assigned
- Aug 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-048986 | IL | Primary |
Addresses
Primary practice location
265 Ravine Drive
Highland Park, IL 60035
Mailing address
265 Ravine Drive
Highland Park, IL 60035
Phone (847) 432-2856
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-048986 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Immediate Care LLC | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Midway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Northwestern Memorial Physicians Group | Past | Accepting new patients |
Locations
1645 W School St
Ste A
Chicago, IL 60657
Phone (773) 227-3669
Organizations & group practices 4
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.
-
- Specialist
- Chicago, IL
- NPI 1720374283
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Emergency Medicine Physician
- Waukegan, IL
- NPI 1447397526
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1538111299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1215939798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 RAVINE DRIVE",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-432-2856",
"fax_number": "847-780-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 RAVINE DRIVE",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "60035",
"telephone_number": "847-432-2856",
"fax_number": "847-780-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALTZBERG",
"first_name": "EUGENE",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-13",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-048986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.