Dr. Charles J Marcuccilli is a Burr Ridge, Illinois based neurologist who is specialized in Child Neurology. Active license number of Dr. Charles J Marcuccilli is 036102274 for Child Neurology in Illinois. His current practice location is 180 Harvester Dr, Suite 110, Burr Ridge. Patients can reach him at 773-702-1150. Dr. Charles J Marcuccilli is MD in Child Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1801849559.
Dr. Charles J Marcuccilli specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Complete Profile:
Dr. Charles J Marcuccilli speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Charles J Marcuccilli |
| Specialization: | Child Neurology |
| Gender: | Male |
| Credentials: | MD |
| Practice Address: | 180 Harvester Dr, Suite 110, Burr Ridge, Illinois, 60527-7594 |
| Phone: | 773-702-1150 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1801849559 |
| NPI Enumeration Date: | 17 May, 2006 |
| NPI Last Update On: | 19 Sep, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charles J Marcuccilli are as mentioned below.
| License Number | Specialization | State | Status | |
| 036102274 | Child Neurology | Illinois | Primary | |
| 036102274 | Pediatrics | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Charles J Marcuccilli such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 34818000 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Charles J Marcuccilli 5841 S Maryland Ave, Dept Of Pediatrics, Mc 3055 Chicago, Illinois |
| Zip: | 60637-1447 |
| Phone Number: | 773-702-6487 |
Patients can reach Dr. Charles J Marcuccilli at
180 Harvester Dr, Suite 110, Burr Ridge, Illinois or can
call to book an appointment on 773-702-1150.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.