Active NPI
Eliezer Tzvi Margolis, PH.D.
- Group Psychotherapy Psychologist
- Evanston, IL
National Provider Identifier
1770560849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Practice address
- 621 Madison St
Suite C
Evanston, IL 60202-2203 - Phone
- (847) 869-6236
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | ||
| Clinical Neuropsychologist | 103G00000X | IL | ||
| Rehabilitation Psychologist | 103TR0400X | IL | ||
| Health Service Psychologist | 103TH0100X | IL | ||
| Marriage & Family Therapist | 106H00000X | IL | ||
| Psychologist | 103T00000X | IL | ||
| Adult Development & Aging Psychologist | 103TA0700X | IL | ||
| Counseling Psychologist | 103TC1900X | IL | ||
| Family Psychologist | 103TF0000X | IL | ||
| Forensic Psychologist | 103TF0200X | IL | ||
| Group Psychotherapy Psychologist | 103TP2701X | IL | Primary |
Addresses
Primary practice location
621 Madison St
Suite C
Evanston, IL 60202-2203
Mailing address
621 Madison St
Suite C
Evanston, IL 60202-2203
Phone (847) 869-6236
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-004374 | IL | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1770560849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 MADISON ST",
"address_2": "SUITE C",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022203",
"telephone_number": "847-869-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 MADISON ST",
"address_2": "SUITE C",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602022203",
"telephone_number": "847-869-6236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIS",
"first_name": "ELIEZER",
"middle_name": "TZVI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.