MARK R. OTTOLIN (NPI# 1265525729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265525729 |
| Entity Type | Individual |
| Full Name | MARK R. OTTOLIN |
| Credential | M.D. |
| Practice Address |
100 Spalding Drive Suite 212 Naperville IL 60504-6552 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6303574111 |
| Practice Fax Number | 6303574644 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-064112 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
100 SPALDING DRIVE SUITE 212 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60504-6552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386749265 | Hematology-oncology Consultants, Ltd. | Internal Medicine | 100 Spalding Drive, Suite 110, Naperville, IL 60540 | 2006-09-14 |
| 1538450838 | Edward Health Ventures | Clinic/Center | 100 Spalding Drive, Ste 204, Naperville, IL 60540-6552 | 2011-04-21 |
| 1801983648 | James P. Ostrenga | Internal Medicine | 100 Spalding Drive, Suite 212, Naperville, IL 60540 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1326337130 | Owais M Malick | Internal Medicine | 801 S Washington St Fl 4, Naperville, IL 60540-7430 | 2011-04-01 |
| 1649386400 | Edward Cardiovascular Institute | Internal Medicine | 801 South Washington, Naperville, IL 60540 | 2006-08-22 |
| 1932542578 | Devin Kirit Patel | Internal Medicine | 100 Spalding Dr Ste 400, Naperville, IL 60540-6554 | 2013-04-13 |
| 1679753164 | Aman Ali | Internal Medicine | 801 S Washington St, 4th Floor, Naperville, IL 60566-7226 | 2007-11-13 |
| 1275650632 | Sujith Jeejy Kalathiveetil | Internal Medicine | 100 Spalding Dr, Suite 212, Naperville, IL 60540-6550 | 2007-03-23 |
| 1972665990 | Cardiovascular Consultants of Naperville, Ltd. | Internal Medicine | 100 Spalding Dr, Suite 212, Naperville, IL 60540-6550 | 2006-12-15 |
| 1588750327 | Sharon L. Cline | Internal Medicine | 100 Spalding Dr, Suite 212, Naperville, IL 60540-6550 | 2006-10-05 |
| 1801983648 | James P. Ostrenga | Internal Medicine | 100 Spalding Drive, Suite 212, Naperville, IL 60540 | 2006-10-05 |
| 1568473502 | Edward Hospital | Internal Medicine | 801 S Washington St, Naperville, IL 60540-7430 | 2006-08-11 |
| 1538182019 | Evans P Pappas | Internal Medicine | 100 Spalding Dr, Ste 400, Naperville, IL 60540-6550 | 2006-07-25 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60504 |
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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.