Active NPI
Mark Vincent Duerinck, MD
- Interventional Cardiology Physician
- Naperville, IL
National Provider Identifier
1689612681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036070721
- Practice address
- 801 S Washington St
4TH Floor
Naperville, IL 60540-7430 - Phone
- (630) 527-2730
- NPI assigned
- Jun 2, 2006
- Last updated
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 036070721 | IL | Primary |
Addresses
Primary practice location
801 S Washington St
4TH Floor
Naperville, IL 60540-7430
Mailing address
1919 S Highland Ave
Suite B202 Attn Jan Lewis
Lombard, IL 60148-6153
Phone (630) 268-1102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036070721 | Medicaid | IL | |
| 060062540 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmhurst Memorial Hospital | Current | Accepting new patients | |
| Midwest Heart Specialists, LTD | Interventional Cardiology | Past | Accepting new patients |
| Edward Cardiovascular Institute | Past | Accepting new patients | |
| Edward Cardiovascular Institute | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Endeavor Health Elmhurst Hospital
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- Cardiovascular Disease Physician
- Naperville, IL
- NPI 1649386400
-
- Cardiovascular Disease Physician
- Yorkville, IL
- NPI 1992806517
-
- Cardiovascular Disease Physician
- Downers Grove, IL
- NPI 1417908765
Interventional Cardiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1689612681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 S HIGHLAND AVE",
"address_2": "SUITE B202 ATTN JAN LEWIS",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486153",
"telephone_number": "630-268-1102",
"fax_number": "630-268-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S WASHINGTON ST",
"address_2": "4TH FLOOR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407430",
"telephone_number": "630-527-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUERINCK",
"first_name": "MARK",
"middle_name": "VINCENT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036070721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036070721",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060062540",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.