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MARCIN MARCINIAK
NPI 1114726627
Student in an Organized Health Care Education/Training Program in North Chicago, IL

Active since March 10, 2025PECOS Enrolled
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 578-3000 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcin Marciniak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCIN MARCINIAK (NPI 1114726627) is an individual student in an organized health care education/training program in North Chicago, Illinois and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114726627
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARCIN MARCINIAK
Location Address3333 GREEN BAY RDNorth Chicago, IL 60064-3037
Mailing Address95 Poston RdWillow Springs, IL 60480-1579 · (708) 262-9804
Phone(847) 578-3000
Sole ProprietorYes
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1114726627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3333 GREEN BAY RD, North Chicago, IL 60064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcin Marciniak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANATOLIY PYSLAR
Psychiatry & Neurology (Psychiatry)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
SAFA MOHAMMAD
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
WILSON YANG
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
ELIZABETH SNIDER
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
DEMARQUES SANDERS RN
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
LESLIE LOYA
Nurse Anesthetist, Certified Registered
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (915) 850-7376
RYAN FIST
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000
KEASMINE HENDERSON
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 578-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcin Marciniak's NPI number?

The NPI number for Marcin Marciniak is 1114726627. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Marcin Marciniak located?

Marcin Marciniak practices at 3333 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (847) 578-3000.

What is Marcin Marciniak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marcin Marciniak enrolled in Medicare?

Yes. Marcin Marciniak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marcin Marciniak was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.