Active NPI
Mikhail Drizin, MD
- Physical Medicine & Rehabilitation Physician
- Palatine, IL
National Provider Identifier
1437231081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 036069643
- Practice address
- 909 E Palatine Rd
Palatine, IL 60074-5551 - Phone
- (847) 776-1400
- Fax
- (847) 776-1424
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036069643 | IL | Primary |
Addresses
Primary practice location
909 E Palatine Rd
Palatine, IL 60074-5551
Mailing address
16764 W Cherrywood LN
Wadsworth, IL 60083
Phone (847) 395-2389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036069643 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036069643 | IL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1437231081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16764 W CHERRYWOOD LN",
"city": "WADSWORTH",
"state": "IL",
"postal_code": "60083",
"telephone_number": "847-395-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E PALATINE RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600745551",
"telephone_number": "847-776-1400",
"fax_number": "847-776-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIZIN",
"first_name": "MIKHAIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036069643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036069643",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.