Provider Demographics
NPI:1548300395
Name:HILGERS, MARC PETER (MD, PHD)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:PETER
Last Name:HILGERS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1221 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1404
Practice Address - Country:US
Practice Address - Phone:630-859-8700
Practice Address - Fax:630-264-8423
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061202A207QS0010X
FLME 99969207QS0010X
FLME99969208D00000X
IL036137322207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL05368OtherBC/BS
FL279540000Medicaid
IL036137322Medicaid
FL311399OtherAVMED
FL5153845OtherCIGNA
FL7256795OtherAETNA
FLP00459922OtherMEDICARE RAILROAD
FL5153845OtherCIGNA
IL036137322Medicaid
IL0727500002Medicare NSC