Individual provider Active NPI

Mark J. Sokolowski, MD

  • Orthopaedic Surgery of the Spine Physician
  • Chicago, IL
National Provider Identifier
1346278017
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
036111925 Issued in IL
Practice address
1743 N Harlem Ave
Chicago, IL 60707-4305
Phone
(708) 529-4500
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 036111925 IL Primary

Addresses

Primary practice location

1743 N Harlem Ave
Chicago, IL 60707-4305

Mailing address

PO Box 4571
Lisle, IL 60532-9571
Phone (708) 529-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000249 IL Practitioner - Orthopedic SurgeryPractitioner - Family PracticePractitioner - Diagnostic Radiology 4789697251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Diagnostic Radiology
Education
Rush Medical College of Rush University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1743 N Harlem Ave
Chicago, IL 60707-4305
Phone (708) 529-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J Sokolowski MD SC Orthopaedic Surgery of the Spine CurrentSince Oct 7, 2008 Accepting new patients
Macneal Physicians Group LLC Past Accepting new patients
Vanguard Medical Specialists, LLC Past Accepting new patients

Locations

1743 N Harlem Ave
Chicago, IL 60707
Phone (708) 529-4500

1 Erie Ct
Ste 7010
Oak Park, IL 60302
Phone (708) 358-0815

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1346278017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4571",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605329571",
            "telephone_number": "708-529-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074305",
            "telephone_number": "708-529-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKOLOWSKI",
        "first_name": "MARK",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "036111925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.