Active NPI
Stephen V Marcoux, M.D.
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.159958
- Practice address
- 5841 S Maryland Ave # Mc3077
Chicago, IL 60637-1443 - Phone
- (773) 702-3858
- NPI assigned
- May 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036.159958 | IL | Primary |
| General Practice Physician | 208D00000X | 29089 | NE | |
| Psychiatry Physician | 2084P0800X | 29089 | NE |
Addresses
Primary practice location
5841 S Maryland Ave # Mc3077
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Phone (773) 702-1150
Other practice location 1
340 Magnolia Cir
Tyndall AFB, FL 32403
Phone (850) 283-7511
Other practice location 2
2200 Bergquist Dr
Suite 1
Jbsa Lackland, TX 78236-9907
Phone (480) 229-0159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Creighton University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2650 Ridge Ave
Evanston, IL 60201-1700
2739 W Foster Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803
5140 N California Ave
Chicago, IL 60625-3645
5145 N California
Hosps Suite 331
Chicago, IL 60625-3661
Phone (847) 570-2280
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200
Hospital & facility affiliations
- Swedish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.159958 | IL | MD | Psychiatry Physician |
| 29089 | NE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652572800000",
"number": "1467862144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HARVESTER DR STE 300",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275965",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE # MC3077",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "773-702-3858"
}
],
"practiceLocations": [
{
"address_1": "340 Magnolia Cir",
"address_purpose": "LOCATION",
"city": "Tyndall AFB",
"state": "FL",
"postal_code": "32403",
"country_code": "US",
"telephone_number": "850-283-7511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Bergquist Dr",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782369907",
"country_code": "US",
"telephone_number": "480-229-0159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCOUX",
"first_name": "STEPHEN",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2022-05-15",
"certification_date": "2022-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.159958",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "29089",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "29089",
"primary": false
}
],
"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 May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.