Active NPI
Margaret Maria Sierantowicz, MD
- Pediatrics Physician
- South Barrington, IL
National Provider Identifier
1275638215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036076209
- Practice address
- 8 Executive CT
Suite 1
South Barrington, IL 60010-9531 - Phone
- (847) 620-7969
- Fax
- (847) 620-7977
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036076209 | IL | Primary |
Addresses
Primary practice location
8 Executive CT
Suite 1
South Barrington, IL 60010-9531
Mailing address
8 Executive CT
Suite 1
South Barrington, IL 60010-9531
Phone (847) 620-7969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05700736 | Medicaid | IL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036076209 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393027200000",
"number": "1275638215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 EXECUTIVE CT",
"address_2": "SUITE 1",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109531",
"telephone_number": "847-620-7969",
"fax_number": "847-620-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 EXECUTIVE CT",
"address_2": "SUITE 1",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109531",
"telephone_number": "847-620-7969",
"fax_number": "847-620-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERANTOWICZ",
"first_name": "MARGARET",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2014-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036076209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05700736",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.