DR. MARK H WERNICK (NPI# 1194762781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194762781 |
| Entity Type | Individual |
| Full Name | DR. MARK H WERNICK |
| Credential | M.D. |
| Practice Address |
800 Biesterfield Rd Ste G01 Wimmer Building Elk Grove Village IL 60007-3372 |
| Mailing Address |
900 S Frontage Rd Suite 325 Woodridge IL 60517-4903 |
| Practice Telephone | 8479813680 |
| Practice Fax Number | 8479565122 |
| Mailing Telephone | 8479813680 |
| Mailing Fax Number | 8479565122 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-127995 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
036-127995 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN LOC 16 | IL6304006 | 01 |
| IL | MEDICARE PTAN LOC 15 | IL6305006 | 01 |
| IL | RRMC PTAN | P01013367 | 01 |
| IL | NPI GROUP PRACTICE | 1720371669 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588740963 | Mark Jay Wernick | Psychologist | 6750 West Loop S, 225, Bellaire, TX 77401-4103 | 2006-10-28 |
| Street Address |
800 BIESTERFIELD RD STE G01 WIMMER BUILDING |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740231505 | Cardiovascular Associates, S.c. | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-05-15 |
| 1912515248 | Camille Raz | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2020-07-22 |
| 1780169664 | Jennifer Marie Handelman | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2018-09-26 |
| 1457865172 | Teresa O'donnell | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2017-11-17 |
| 1326567173 | Bhavna Sharma | Registered Nurse | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2017-09-13 |
| 1649712373 | Rafie Davidov | Nurse Practitioner | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2016-11-11 |
| 1740629583 | Wesam Ostwani | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2013-06-14 |
| 1366794190 | Fortesa Myha | Physician Assistant | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2012-10-03 |
| 1578856407 | Rina Verma | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2011-05-25 |
| 1245556547 | Ashish Haryani | Internal Medicine | 800 Biesterfield Rd Ste G01, Elk Grove Village, IL 60007-3372 | 2010-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306892765 | Hemal M Nayak | Internal Medicine | 800 Biesterfield Rd Ste G01, Wimmer Building, Elk Grove Village, IL 60007-3372 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363185 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1340 Il Highway 1 Ste A, Carmi, IL 62821 | 2018-04-10 |
| 1568637833 | Krishnaswami Sriram | Internal Medicine | 611 Hunter Ln, Lake Forest, IL 60045-4905 | 2008-04-28 |
| 1083712467 | Ohio Valley Heartcare Inc | Internal Medicine | 1405 Locust St, Eldorado, IL 62930-1629 | 2006-09-20 |
| 1912917030 | Martin C Burke | Internal Medicine | 1006 S Michigan Ave, Suite 501, Chicago, IL 60605-2254 | 2006-08-09 |
| 1316998578 | West Suburban Cardiologists, Ltd. | Internal Medicine | 3118 N Ashland Ave, Chicago, IL 60657-3014 | 2006-05-13 |
| 1952359242 | Samer Dibs | Internal Medicine | 2222 W Division St Ste 340, Chicago, IL 60622-2995 | 2006-05-05 |
| 1164483145 | Mehran Jabbarzadeh | Internal Medicine | 900 Technology Way Ste 220, Libertyville, IL 60048-5364 | 2006-03-30 |
| 1497754634 | Rebecca Sue Riepshoff | Internal Medicine | Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269-1282 | 2005-07-19 |
| 1093712481 | Erica D Engelstein | Internal Medicine | 7447 W Talcott Ave Ste 222, Chicago, IL 60631-3713 | 2005-06-30 |
| 1861007239 | Marian Heart Rhythm Consultants Sc | Internal Medicine | 2222 W Division St Ste 205, Chicago, IL 60622-3094 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.