M .Kushner MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

M .KUSHNER MD

Doing business as

M .Kushner MD

Practice address

2437 N Southport Ave
Chicago, IL 60614-2060

Phone

(773) 244-9600

Fax

(773) 248-2348

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By 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. Marla Kushner, DONPI 1538119268

Title

Owner

Phone

(773) 244-9600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• M .Kushner MD Doing business as

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.

• Marla Kushner, DO

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1538119268
  NPD (past) Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669591509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142060",
            "telephone_number": "773-244-9600",
            "fax_number": "773-248-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142060",
            "telephone_number": "773-244-9600",
            "fax_number": "773-248-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M .KUSHNER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUSHNER",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-244-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31603434",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M .Kushner MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Lysinska, D.D.S
• Poj Lysouvakon, MD
• Anna Jane Lytchakov
• Zachary Scott Lyth, NP
• Yana A Lyushkova, DDS
• M & a OB-GYN Associates, SC
• M & D Health Care, Inc.
• M & D Home Health Care, Inc.
• M & F Medical Services, LTD
• M & R Rudra Incorporated (New Life Medical Center)

• 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 Aug 22, 2020; 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.