Marc D. Bear, M.D., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-095995 Issued in IL

Legal business name

MARC D. BEAR, M.D., LLC

Practice address

1011 W Wellington Ave
#210
Chicago, IL 60657-7187

Phone

(773) 458-4671

Fax

(847) 328-3565

NPI assigned

Jan 5, 2011

Last updated

Jun 13, 2015By 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. Marc D Bear, M.D.NPI 1821043290

Title

Physician/Manager

Phone

(773) 458-4671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Marc D Bear, M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1821043290
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434153600000",
    "number": "1548564537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 COLFAX ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012531",
            "telephone_number": "773-458-4671",
            "fax_number": "847-328-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WELLINGTON AVE",
            "address_2": "#210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577187",
            "telephone_number": "773-458-4671",
            "fax_number": "847-328-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC D. BEAR, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2015-06-13",
        "status": "A",
        "authorized_official_last_name": "BEAR",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGER",
        "authorized_official_telephone_number": "773-458-4671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-095995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marberry
• Richard Marble, M.D.
• Dominique Marbley
• Elinor Marboe
• Ruben Marbury
• Michael Marcangelo
• Jessica M Marcano, ALMFT
• Michelle Akemi Marcano, DDS
• Breanna Marcelin, MA
• Ryan Marcelino, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.