Mark D Forrestal MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARK D FORRESTAL MD SC

Practice address

1410 N Arlington Heights Rd
Suite 300
Arlington Heights, IL 60004-4822

Phone

(847) 618-1740

Fax

(847) 618-1749

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Mark D Forrestal, MD

Title

President

Phone

(847) 618-1740

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1639613920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "604991215",
            "telephone_number": "844-276-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 300",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044822",
            "telephone_number": "847-618-1740",
            "fax_number": "847-618-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D FORRESTAL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "FORRESTAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-618-1740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Nauta Margol, PSY.D.
• Lawrence Noel Margolies, M.D.
• David P Margolis, LCPC
• Natalie Ann Mariani, DDS
• Marianna Tsaran MD SC
• Mark Ryerson
• Sotirios Markuly, D.O.
• Anne Marquette
• Steven Marsh, PT
• Paul Marsiglia, D.O.

• Internal Medicine Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.