Individual provider Active NPI

Marc H Slutsky, MD

  • Psychiatry Physician
  • Highland Park, IL
National Provider Identifier
1912003518
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
3644517 Issued in IL
Practice address
3535 Patten Rd Apt 8a
Highland Park, IL 60035-5960
Phone
(312) 861-0001
Fax
(847) 433-0974
NPI assigned
Sep 15, 2006
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 3644517 IL Primary

Addresses

Primary practice location

3535 Patten Rd Apt 8a
Highland Park, IL 60035-5960

Mailing address

3535 Patten Rd Apt 8a
Highland Park, IL 60035-5960
Phone (312) 861-0001

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061019000140 IL Practitioner - Psychiatry 2163428962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northwestern University Feinberg Medical School, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3535 Patten Rd
Apt 8a
Highland Park, IL 60035-5960
Phone (312) 861-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3644517ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc H Slutsky, MD SC Psychiatry CurrentSince Oct 1, 1994 Accepting new patients

Locations

1 E Wacker Dr
Ste 630
Chicago, IL 60601
Phone (312) 644-8180

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1912003518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PATTEN RD APT 8A",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355960",
            "telephone_number": "312-861-0001",
            "fax_number": "847-433-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PATTEN RD APT 8A",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355960",
            "telephone_number": "312-861-0001",
            "fax_number": "847-433-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUTSKY",
        "first_name": "MARC",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "3644517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.