Active NPI
Martin J Pollak MD SC
- Otolaryngology Physician
- Des Plaines, IL
National Provider Identifier
1699034405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036037460
- Legal business name
- MARTIN J POLLAK MD SC
- Practice address
- 9301 Golf Rd
300
Des Plaines, IL 60016 - Phone
- (847) 297-2091
- Fax
- (847) 297-2060
- NPI assigned
- May 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin J Pollak, MD
- Title
- President
- Phone
- (847) 297-2091
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036037460 | IL | Primary |
| General Practice Physician | 208D00000X | 036037460 | IL |
Addresses
Primary practice location
9301 Golf Rd
300
Des Plaines, IL 60016
Mailing address
9301 Golf Rd
300
Des Plaines, IL 60016
Phone (847) 297-2091
National Provider Directory
National Provider DirectoryLocations
4860 Oakton St
Ste 11
Skokie, IL 60077
Phone (847) 329-0470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339459200000",
"number": "1699034405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 GOLF RD",
"address_2": "300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "60016",
"telephone_number": "847-297-2091",
"fax_number": "847-297-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 GOLF RD",
"address_2": "300",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "60016",
"telephone_number": "847-297-2091",
"fax_number": "847-297-2060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN J POLLAK MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-14",
"last_updated": "2012-06-12",
"status": "A",
"authorized_official_last_name": "POLLAK",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-297-2091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "IL",
"license": "036037460",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": "036037460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.