DR. REVITAL MICHELLE MARCUS


Address: 9650 Gross Point Rd. Suite 3900, Skokie, IL 60076
Phone: 8475702570

DR. REVITAL MICHELLE MARCUS (NPI# 1962798454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962798454
Entity Type Individual
Full Name DR. REVITAL MICHELLE MARCUS
Credential MD
Practice Address 9650 Gross Point Rd. Suite 3900
Skokie
IL 60076
Mailing Address 9650 Gross Point Rd. Suite 3900
Skokie
IL 60076-1380
Practice Telephone 8475702570
Practice Fax Number 8479333520
Mailing Telephone 8475702570
Mailing Fax Number 8479333520
Enumeration Date 2011-06-22
Last Update Date 2018-11-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
036131122 IL Allopathic & Osteopathic Physicians
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
036131122 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3471 5th Ave, Upmc Department of Neurology 811 Kauffmann Medical, Pittsburgh, PA 152133215 4126924600

Office Location

Street Address 9650 GROSS POINT RD. SUITE 3900
City SKOKIE
State IL
Zip Code 60076

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902456999 Gateway Foundation, Inc Clinic/Center 4028 W. Dempster, Ste 100, Skokie, IL 60076 2019-09-12
1336798255 Renee Rosenberg Speech-Language Pathologist C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 2019-09-04
1710531223 Dw Care Solutions Hospice Care, Community Based 4556 Oakton St, Suite 205, Skokie, IL 60076 2019-08-01
1689228157 Elaine Ng Pharmacist 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 2019-08-01
1881169381 Kathleen Pyles Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2018-10-10
1174013452 Vitae Health of Illinois LLC Social Worker 3450 Oakton St, Skokie, IL 60076 2018-05-13
1396253530 Jodi Novick Okner Social Worker 9134 Kilbourn Avenue, Skokie, IL 60076 2018-01-22
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
1255705315 Malka Rokach Pharmacist 3358 W Touhy, Skokie, IL 60076 2015-11-30
1578932620 Katrina Margaret Keithley Physician Assistant 9669 Kenton Ave Ste 203, Skokie, IL 60076 2015-09-18
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770730095 Joya Paul Psychiatry & Neurology 9650 Gross Point Rd, Suite 3900, Skokie, IL 60076-1234 2008-08-19
1093979486 Archie Lim Ong Psychiatry & Neurology 9700 Kenton Ave, Suite 404, Skokie, IL 60076-1259 2008-07-15
1912945692 Megan Marie Shanks Psychiatry & Neurology 9650 Gross Point Rd Ste 3900, Skokie, IL 60076 2006-06-03
1770579716 Steven Lee Meyers Psychiatry & Neurology 9669 Kenton Ave, Suite 203, Skokie, IL 60076-1266 2005-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831714294 Kaitlin E Keenan Psychiatry & Neurology 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 2020-06-11
1811546484 Glencor Neuromonitoring LLC Psychiatry & Neurology 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 2019-09-06
1750941639 Ammar Tarabichi Psychiatry & Neurology 751 N Rutledge, Springfield, Il, Springfield, IL 62794 2019-06-13
1972167906 Kazkaz Southwest Neurology S.c. Psychiatry & Neurology 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 2019-04-25
1285195594 Niccolo Emanuele Mencacci Psychiatry & Neurology 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 2019-03-28
1497216865 Juan Pablo Ospina Botero Psychiatry & Neurology 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 2019-03-28
1780164574 Danielle Trokey Psychiatry & Neurology 2515 N Clark St Ste 801, Chicago, IL 60614 2018-08-21
1124526272 Neurology Clinic of Chicago, LLC Psychiatry & Neurology 4909 W Division St Ste 302, Chicago, IL 60651-3161 2018-01-23
1538514120 Kathleen Mary Gorman Psychiatry & Neurology 225 E Chicago Avenue, Chicago, IL 60611 2016-05-02
1396190203 Lauren Brandes Psychiatry & Neurology 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 2016-04-28
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Competitor

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City SKOKIE
Zip Code 60076

Improve Information

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Dataset Information

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.

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