Active NPI
Marek B Rebandel, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1982710828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Practice address
- 2202 N Lincoln Ave
Suite #4
Chicago, IL 60614-7170 - Phone
- (773) 871-3444
- Fax
- (773) 871-7906
- NPI assigned
- Aug 22, 2006
- Last updated
- Feb 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IL | Primary |
Addresses
Primary practice location
2202 N Lincoln Ave
Suite #4
Chicago, IL 60614-7170
Mailing address
2202 N Lincoln Ave
Suite #4
Chicago, IL 60614-7170
Phone (773) 871-3444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036045460 2 | Medicaid | IL | |
| 1615604 | Other | IL | BCBS |
| 1635426 | Other | IL | BCBS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036045460 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Gynecological Associates | Obstetrics & Gynecology | 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.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1427230945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1982710828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N LINCOLN AVE",
"address_2": "SUITE #4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147170",
"telephone_number": "773-871-3444",
"fax_number": "773-871-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N LINCOLN AVE",
"address_2": "SUITE #4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147170",
"telephone_number": "773-871-3444",
"fax_number": "773-871-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBANDEL",
"first_name": "MAREK",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036045460 2",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1615604",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1635426",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.