Organization Active NPI

Margot Maresky PC

  • Specialist
  • Vernon Hills, IL
National Provider Identifier
1376769463
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
070005038 Issued in IL
Legal business name
MARGOT MARESKY PC
Doing business as
Kidz PT Inc
Practice address
1673 N Woods Way
Vernon Hills, IL 60061-1237
Phone
(847) 573-8992
Fax
(847) 573-8082
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Karin Richter
Title
Billing Service
Phone
(847) 769-5316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 070005038 IL Primary

Addresses

Primary practice location

1673 N Woods Way
Vernon Hills, IL 60061-1237

Mailing address

1673 N Woods Way
Vernon Hills, IL 60061-1237
Phone (847) 573-8992

Other identifiers 2

IdentifierTypeStateIssuer
01632056OtherILBLUE SHIELD PROVIDER NUM
341767342001MedicaidIL

Other names 1

  • Kidz PT Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1376769463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 N WOODS WAY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611237",
            "telephone_number": "847-573-8992",
            "fax_number": "847-573-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 N WOODS WAY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611237",
            "telephone_number": "847-573-8992",
            "fax_number": "847-573-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGOT MARESKY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "BILLING SERVICE",
        "authorized_official_telephone_number": "847-769-5316"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "070005038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUM",
            "identifier": "01632056",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341767342001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidz PT Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.