Marvin S Peiken, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036053584 Issued in IL

Practice address

5999 New Wilke Rd
Suite 200 BLDG 2
Rolling Meadows, IL 60008-4506

Phone

(847) 255-7107

Fax

(847) 255-7031

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1790780765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD",
            "address_2": "SUITE 200 BLDG 2",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084506",
            "telephone_number": "847-255-7107",
            "fax_number": "847-255-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD",
            "address_2": "SUITE 200 BLDG 2",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084506",
            "telephone_number": "847-255-7107",
            "fax_number": "847-255-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIKEN",
        "first_name": "MARVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036053584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053584",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruchitaben Bhavinkumar Patel
• Patients Choice, LLC
• Pauldon Cares Inc
• Michelle Pauldon, INCORPORATION
• Pearl of Rolling Meadows LLC
• Maria Luisa Ramos Perez, RN-MASSAGE THERAPIST
• Lon J Petchenik, M.D.
• Phoenix Health Care LLC
• Physical Rehabilitation Clinics Inc.
• Physician on Call

• Internal Medicine Physician in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.