Marri Anesthetics LTD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MARRI ANESTHETICS LTD

Practice address

815 Pasquinelli Dr
Westmont, IL 60559-1276

Phone

(630) 654-2515

Fax

(630) 654-9344

NPI assigned

Apr 21, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raghu Shantan Reddy Marri, MD

Title

Owner

Phone

(630) 776-4711

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1033644653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 LAKE COOK RD STE M",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155234",
            "telephone_number": "847-945-4550",
            "fax_number": "847-948-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PASQUINELLI DR",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591276",
            "telephone_number": "630-654-2515",
            "fax_number": "630-654-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRI ANESTHETICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "MARRI",
        "authorized_official_first_name": "RAGHU SHANTAN",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-776-4711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell E Manney III, D.C.
• Manor Care of Westmont Il LLC
• Jonathan Maravelias, APRN
• Samantha Mary Marek, R.D.
• Margaret E Brownlie DC PC
• Brooke Marshall, MA., CCC-SLP
• Patrick David Martin, LPC
• Wesley Martinez Castro
• Berenice Martinez
• Francis Angelica Martinez

• Anesthesiology Physician in Westmont, IL
• Providers in Westmont, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.