Mario a Salazar MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036049655 Issued in IL

Legal business name

MARIO A SALAZAR MD SC

Practice address

3048 N Harlem Ave
Chicago, IL 60634-4704

Phone

(773) 237-7795

NPI assigned

Mar 15, 2010

Last updated

Jul 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mario A Salazar, M.D.NPI 1003915620

Title

Physician

Phone

(773) 237-7795

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario A. Salazar, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1003915620
  Authorized official Same address or phone

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1538483953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344704",
            "telephone_number": "773-237-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO A SALAZAR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-237-7795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036049655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049655",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21605529",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Louise Marino, PH.D.
• Susana G. Marino, M.D., PH.D.
• Heidi Sauhammel Marinoff, L.AC.
• Eva Nascimento Marinotti, LPC
• Debra Marinovic, PA
• Mario C. Rosas, M.D., S.C.
• Ariel Marion, MSW
• Brian Marion, D.C., A.R.T.
• Emily Marion, LCSW
• Margaret Marion, LCSW

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.