Organization Active NPI

Mark J Sokolowski MD SC

  • Orthopaedic Surgery of the Spine Physician
  • Chicago, IL
National Provider Identifier
1396045464
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
042619573 Issued in IL
Legal business name
MARK J SOKOLOWSKI MD SC
Practice address
1743 N Harlem Ave
Chicago, IL 60707-4305
Phone
(773) 295-5025
NPI assigned
Oct 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dr. Mark Sokolowski, M.D.NPI 1346278017
Title
President
Phone
(630) 962-7390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X 042619573 IL Primary

Addresses

Primary practice location

1743 N Harlem Ave
Chicago, IL 60707-4305

Mailing address

PO Box 4571
Lisle, IL 60532-9571
Phone (630) 962-7390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130530000699 IL Part B Supplier - Clinic/Group Practice 8426296583 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Oak Park, IL
O20130828000939 IL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8426296583 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

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

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": "1287792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1396045464",
    "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": "630-962-7390"
        },
        {
            "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": "773-295-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J SOKOLOWSKI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "SOKOLOWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-962-7390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IL",
            "license": "042619573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.