DR. MARK S DWORKIN (MD) – Infectious Disease Physician, NPI 1619963006

DR. MARK S DWORKIN (MD) is a healthcare provider. based in Burr ridge, Illinois. specializing in INFECTIOUS DISEASE. They hold the professional credentials MD. They hold a License No. 036-102140 (IL). The NPI Number for DR. MARK S DWORKIN (MD) is 1619963006

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK S DWORKIN (MD)
NPI
1619963006
Phone
(888) 220-6432
Address
901 MCCLINTOCK DR
Enumeration Date
21 September 2005
Last Update Date
23 April 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
3125724500
Graduation Year
1989 (37 years ago)
PAC ID
2769525773
Group Practice PAC ID
2860398088
Professional Enrollment ID
I20100129000482
Address ID
IL606123741CH2020XSTXX400

Contacts

Secure Messaging
MDworkin@direct.ccprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

475 INFECTIOUS DISEASE in IL

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Provider Addresses for DR. MARK S DWORKIN (MD)

  • McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60480, United States

    SUITE 202

    BURR RIDGE, IL 605270844

    Phone: (888) 220-6432

    Fax: (630) 654-4253

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100129000482IInfectious DiseaseILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860398088View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)MA
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
Physician AssistantIL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MARK S DWORKIN (MD)?
NPI 1619963006 is assigned to DR. MARK S DWORKIN (MD) under the national enumeration system.
Is DR. MARK S DWORKIN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. MARK S DWORKIN (MD) work in?
You can think of DR. MARK S DWORKIN (MD) as practicing within Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK S DWORKIN (MD)?
The snapshot lists Burr Ridge, Illinois for DR. MARK S DWORKIN (MD); download NPPES for the complete set.
What if Burr Ridge, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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