Active NPI
Mark J Sokolowski MD SC
- Orthopaedic Surgery of the Spine Physician
- Chicago, IL
National Provider Identifier
1396045464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 042619573
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Sokolowski, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 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 IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery of the Spine Physician
- Chicago, IL
- NPI 1346278017
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.