Active NPI
Marvin Zelkowitz, M.D.
- Specialist
- Flossmoor, IL
National Provider Identifier
1730189259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3235 Vollmer Rd
Suite 110
Flossmoor, IL 60422-2013 - Phone
- (708) 957-3737
- Fax
- (708) 957-2516
- NPI assigned
- Jul 27, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Primary |
Addresses
Primary practice location
3235 Vollmer Rd
Suite 110
Flossmoor, IL 60422-2013
Mailing address
3235 Vollmer Rd
Suite 110
Flossmoor, IL 60422-2013
Phone (708) 957-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101213000765 | IL | Practitioner - Neurology | 0143261073 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730189259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 VOLLMER RD",
"address_2": "SUITE 110",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222013",
"telephone_number": "708-957-3737",
"fax_number": "708-957-2516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 VOLLMER RD",
"address_2": "SUITE 110",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222013",
"telephone_number": "708-957-3737",
"fax_number": "708-957-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELKOWITZ",
"first_name": "MARVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.