Individual provider Active NPI

Evelyn Margolies

  • Occupational Therapist
  • Skokie, IL
National Provider Identifier
1700915642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
4232 Dempster St
Skokie, IL 60076-2008
Phone
(847) 674-0839
Fax
(847) 869-7380
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X IL Primary

Addresses

Primary practice location

4232 Dempster St
Skokie, IL 60076-2008

Mailing address

3055 W Chase Ave
Chicago, IL 60645-1123
Phone (773) 973-4460

Other identifiers 1

IdentifierTypeStateIssuer
EI#EM27650798POtherILPROVIDER CONNECTION EI NU

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056.001247ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700915642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 W CHASE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451123",
            "telephone_number": "773-973-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762008",
            "telephone_number": "847-674-0839",
            "fax_number": "847-869-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIES",
        "first_name": "EVELYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER CONNECTION EI NU",
            "identifier": "EI#EM27650798P",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.