Organization Active NPI

Margarita Etingen MD S.C.

  • Internal Medicine Physician
  • Buffalo Grove, IL
National Provider Identifier
1669638516
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.121009 Issued in IL
Legal business name
MARGARITA ETINGEN MD S.C.
Practice address
130 Pauline Ave
Buffalo Grove, IL 60089-1766
Phone
(847) 215-1445
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Margarita Etingen, M.D.
Title
President
Phone
(847) 215-1445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036.121009 IL Primary

Addresses

Primary practice location

130 Pauline Ave
Buffalo Grove, IL 60089-1766

Mailing address

130 Pauline Ave
Buffalo Grove, IL 60089-1766
Phone (847) 215-1445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1669638516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PAULINE AVE",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891766",
            "telephone_number": "847-215-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PAULINE AVE",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891766",
            "telephone_number": "847-215-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARITA ETINGEN MD S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "ETINGEN",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-215-1445",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.121009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.