NPIMap

Organization Active NPI

Mark E. Dubin, M.D., LLC

  • Gastroenterology Physician
  • Hoffman Estates, IL
National Provider Identifier
1831473784
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-078199 Issued in IL
Legal business name
MARK E. DUBIN, M.D., LLC
Practice address
1000 Grand Canyon Pkwy
Suite 108
Hoffman Estates, IL 60169-1705
Phone
(847) 490-9901
Fax
(847) 490-0930
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Mark E Dubin, M.D.
Title
Owner
Phone
(847) 490-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 036-078199 IL Primary

Addresses

Primary practice location

1000 Grand Canyon Pkwy
Suite 108
Hoffman Estates, IL 60169-1705

Mailing address

PO Box 5075
Buffalo Grove, IL 60089-5075
Phone (847) 490-9901

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1831473784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5075",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600895075",
            "telephone_number": "847-490-9901",
            "fax_number": "847-490-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GRAND CANYON PKWY",
            "address_2": "SUITE 108",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691705",
            "telephone_number": "847-490-9901",
            "fax_number": "847-490-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. DUBIN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-490-9901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-078199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.