Dr Mark Trelka LTD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036082394 Issued in IL

Legal business name

DR MARK TRELKA LTD

Practice address

565 Lakeview Pkwy
Suite 104
Vernon Hills, IL 60061-1857

Phone

(847) 549-0232

Fax

(847) 549-9329

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mark J Trelka, MDNPI 1720005291

Title

Physician

Phone

(847) 549-0232

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark J Trelka, MD

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1720005291
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1649347808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 LAKEVIEW PKWY",
            "address_2": "SUITE 104",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611857",
            "telephone_number": "847-549-0232",
            "fax_number": "847-549-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 LAKEVIEW PKWY",
            "address_2": "SUITE 104",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611857",
            "telephone_number": "847-549-0232",
            "fax_number": "847-549-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK TRELKA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "TRELKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-549-0232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036082394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082394",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03905078",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott S Dooley, DC
• Doreen Benjamin Psy D LTD
• Beth Dostal, LCSW
• DPT Solutions, Inc.
• Dr Kumar and Associates LLC
• Dr. Michael H. Grousd DDS Ma LTD
• Dr. Tina Khoury, D.M.D., P.C.
• Dr.Moonwalk, Inc
• DRS. Mattana and Kwiecinski
• Desiree Du Pont

• Neurology Physician in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.