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Deactivated NPI 1053484188 Deactivated / Inactive NPI Male Practitioner

Dr. Marvin Joseph Katz , DDS

General Practice • Niles, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marvin Katz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2006
NPI Deactivation Date August 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Katz, DDS was a registered General Practice practicing in Niles, IL. Throughout an active medical career spanning 16 years, Dr. Katz provided care at the practice location at 718 GOLF MILL PROF BLD until profile deactivation on 2022-08-17.

Practice Location & Contact Primary Location

Practice Address

718 Golf Mill Prof Bld

Niles, IL 60714

Telephone 8472993365
Fax 8472993669
Associated Practice Facility / Clinic
🏢 Drs. Katz And Dolnick, P.c. Facility NPI 1255346631

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Niles, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Niles, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Ira Dolnick , DDS

Dentist - General Practice

NPI 1942264890

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 17, 2022

Record deactivated on August 17, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 718 GOLF MILL PROF BLD, NILES, IL 60714 (Tel: 8472993365)

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Updated Business Mailing Address July 08, 2007

Registered at 1420 SHERIDAN RD, APT 5B, WILMELTE, IL 60091 (Tel: 8478534811)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARVIN KATZ, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice

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Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053484188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: July 08, 2007
Deactivation Date: August 17, 2022

Mailing Address

1420 Sheridan Rd, Apt 5b

Wilmelte, IL 60091

Phone: 8478534811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.