NPIMap

Individual provider Active NPI

Ramon Marquez, M.D.

  • Psychiatry Physician
  • Dekalb, IL
National Provider Identifier
1689763419
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036116692 Issued in IL
Practice address
147 N 2ND St
Suite #7
Dekalb, IL 60115-3276
Phone
(815) 217-0155
Fax
(815) 217-0185
NPI assigned
Oct 12, 2006
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036116692 IL Primary

Addresses

Primary practice location

147 N 2ND St
Suite #7
Dekalb, IL 60115-3276

Mailing address

147 N 2ND St
Suite #7
Dekalb, IL 60115-3276
Phone (815) 217-0155

Other identifiers 1

IdentifierTypeStateIssuer
036116692MedicaidIL

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

State licenses

LicenseStateTypeSpecialty
036116692ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foroutan & Associates SC Psychiatry Past Accepting new patients
Oak Forest Psychological Service Psychiatry Past Accepting new patients
Preventative Mental Healthcare Services Past Accepting new patients
Innovative Recovery Network of Wisconsin LLC Past Accepting new patients
Mind Aligned Inc Past Accepting new patients
Synergos P.C. Psychiatry Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1689763419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N 2ND ST",
            "address_2": "SUITE #7",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153276",
            "telephone_number": "815-217-0155",
            "fax_number": "815-217-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N 2ND ST",
            "address_2": "SUITE #7",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153276",
            "telephone_number": "815-217-0155",
            "fax_number": "815-217-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036116692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116692",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.