Marvin Harvey Margolis, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

36-45469 Issued in IL

Practice address

2010 S Arlington Heights Rd
Ste. 219
Arlington HTS, IL 60005-4134

Phone

(847) 437-0620

Fax

(847) 437-0621

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1255341632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "STE. 219",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600054134",
            "telephone_number": "847-437-0620",
            "fax_number": "847-437-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "STE. 219",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600054134",
            "telephone_number": "847-437-0620",
            "fax_number": "847-437-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "MARVIN",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "36-45469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "0021602682",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea L Lobacz, RD, LDN
• Katarzyna Luc
• Michelle Luthringshausen, MD
• Lillian Madera, RPN
• Richard A Mannion, MD
• Neil Woolf Margolis, OD
• Vanessa Martinez de Baklazec, RPN
• Gerard R Marty, MD
• Marvin H Margolis MD SC
• Amanda Matousek, LCSW

• Dermatology Physician in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.