Active NPI
Anthony M Marinelli, MD
- Pulmonary Disease Physician
- Oak Park, IL
National Provider Identifier
1922166917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036-052370
- Practice address
- 1 Erie Court Suite 3000
Oak Park, IL 60302-2519 - Phone
- (708) 383-7899
- Fax
- (708) 383-1619
- NPI assigned
- Dec 4, 2006
- Last updated
- Jan 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036052370 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036-052370 | IL | Primary |
Addresses
Primary practice location
1 Erie Court Suite 3000
Oak Park, IL 60302-2519
Mailing address
1 Erie Court Suite 3000
Oak Park, IL 60302-2519
Phone (708) 383-7899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360523701 | Medicaid | IL |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036052370 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
| 036-052370 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Suburban Medical Center | Past | Accepting new patients |
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.
-
dba West Suburban Health Care Physicians SVCS
- Family Medicine Physician
- Chicago, IL
- NPI 1649499096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1922166917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ERIE COURT SUITE 3000",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022519",
"telephone_number": "708-383-7899",
"fax_number": "708-383-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ERIE COURT SUITE 3000",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022519",
"telephone_number": "708-383-7899",
"fax_number": "708-383-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINELLI",
"first_name": "ANTHONY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036052370",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036-052370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360523701",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.