NPIMap

Individual provider Active NPI

Marcus Lee Quek, MD

  • Urology Physician
  • Maywood, IL
National Provider Identifier
1457325433
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
36114284 Issued in IL
Practice address
2160 S First Ave
(Fahey BLDG., RM. 270)
Maywood, IL 60153
Phone
(708) 216-5102
Fax
(708) 216-1699
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 36114284 IL Primary

Addresses

Primary practice location

2160 S First Ave
(Fahey BLDG., RM. 270)
Maywood, IL 60153

Mailing address

2160 S First Ave
(Fahey BLDG., RM. 270)
Maywood, IL 60153
Phone (708) 216-5102

Other identifiers 2

IdentifierTypeStateIssuer
36114284MedicaidIL
K21675OtherILMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mquek15708@direct.luhs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000513 IL Practitioner - Urology 1254308612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Hospital & facility affiliations

  • Loyola Medicine Home Care Home health agency, Oak Brook, IL, CCN 147257
  • Loyola University Medical Center Hospital, Maywood, IL, CCN 140276
  • Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Macneal Hospital Hospital, Berwyn, IL, CCN 140054
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36114284ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Loyola University Medical Center CurrentSince Mar 16, 2020 Accepting new patients
Loyola University Medical Center CurrentSince Mar 16, 2020 Accepting new patients
Loyola Medical Group LLC CurrentSince Oct 9, 2020 Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

3231 Euclid Ave
Ste 202
Berwyn, IL 60402
Phone (708) 783-2700

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

420 W Butterfield Rd
Elmhurst, IL 60126
Phone (630) 832-2300

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Rm 270
Maywood, IL 60153
Phone (708) 216-5100

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

715 W North Ave
Melrose Park, IL 60160
Phone (708) 450-4554

Organizations & group practices 5

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 8

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1457325433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "(FAHEY BLDG., RM. 270)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-5102",
            "fax_number": "708-216-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "(FAHEY BLDG., RM. 270)",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "60153",
            "telephone_number": "708-216-5102",
            "fax_number": "708-216-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEK",
        "first_name": "MARCUS",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "36114284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36114284",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K21675",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mquek15708@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S First Ave",
            "address_2": "(FAHEY BLDG., RM. 270)",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.