Marcon Medical Partners Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036117058 Issued in IL

Legal business name

MARCON MEDICAL PARTNERS INC

Practice address

1140 N McLean Blvd
Unit C
Elgin, IL 60123-1782

Phone

(224) 558-5493

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sajjad Murtaza, MD

Title

Physician

Phone

(847) 971-8991

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Julianna Astacio, P.A.-C

  • Medical Physician Assistant
  • Elgin, IL
  • NPI 1508073198
  Medicare reassignment

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387670400000",
    "number": "1114358017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD",
            "address_2": "UNIT C",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "224-558-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD",
            "address_2": "UNIT C",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "224-558-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCON MEDICAL PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-22",
        "status": "A",
        "authorized_official_last_name": "MURTAZA",
        "authorized_official_first_name": "SAJJAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-971-8991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036117058",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085002516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "036117058",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Chandrathil Manogura, MD
• Manor Care of Elgin Il LLC
• Lucia Manriquez Leon
• Charlisa Sukrasebya Mao
• Maplewood Care, Inc.
• Kellie Marcus, MA
• Kapila S Marepalli, MD
• Lorelei Mariano, DPT
• Sanchia Selene Marinelli, RPT
• Marius O Mokwe MD.SC.

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.