Marc Allan Adajar, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36114923 Issued in IL

Practice address

2845 N Sheridan Road, Suite 714
Suite 714
Chicago, IL 60657-6065

Phone

(773) 561-7911

NPI assigned

Oct 18, 2006

Last updated

Apr 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocate Health and Hospitals Corporation

  dba Advocate Medical Group

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Humboldt Park Health

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1740417153

  Surgery

  Medicare reassignment NPD
• Osipova Surgical Service Corporation

  • Surgical Oncology Physician
  • Chicago, IL
  • NPI 1154974590

  Surgery

  Medicare reassignment NPD
• S.T. Surgical Consultants

  dba Precision Surgical group

  • Specialist
  • Chicago, IL
  • NPI 1487761359
  Authorized official Same address or phone
• Advocate Health & Hospitals Corporation

  dba Advocate Christ Medical Group

  • Medical Specialty Clinic/Center
  • Oak Lawn, IL
  • NPI 1912936014
  NPD
• Advocate Health and Hospitals Corporation

  dba Advocate Children's Hospital

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• CDN Surgical Assoc., LTD.

  • Vascular Surgery Physician
  • Chicago, IL
  • NPI 1528114501
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1508947383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W FARRAGUT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401009",
            "telephone_number": "847-858-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN ROAD, SUITE 714",
            "address_2": "SUITE 714",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576065",
            "telephone_number": "773-561-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAJAR",
        "first_name": "MARC",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "36114923",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "36114923",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IL",
            "license": "36114923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K38772",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennison Adad, LMT
• Allison Lynn Adair
• Karolina Adair, APRN, CNP
• Margaret Hamon Adair, MS, CCC-SLP
• Adajar Surgical, S.C.
• Carly Fox Adajian, DDS
• Adalberto Campo MD SC
• Adam a Solano,DDS.,PC
• Adam Hellebrand, PSYD PLLC
• Adam Shafer, P.C. (Moonlightwellbeing)

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.