Med MK LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MED MK LLC

Practice address

1785 W Howard St
Chicago, IL 60626-1626

Phone

(312) 483-3171

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Mayyurathan Kanaggappah Maheswara

Title

President

Phone

(312) 483-3171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1124776661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 N SHERIDAN RD APT 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262906",
            "telephone_number": "312-483-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W HOWARD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261626",
            "telephone_number": "312-483-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "KANAGGAPPAH MAHESWARA",
        "authorized_official_first_name": "MAYYURATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-483-3171"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Marie Mecher, PA-C
• Ashesha Mechineni, MD, FACP
• Candice Elaine Meck, D.O.
• Mary Alice Meckes, LCSW
• Ashley Rose Meczywor
• Med Products Corp
• Med Psyche LLC
• Med Spa of Mt Greenwood PLLC
• Med Staff on-Call
• Med-First Enterprise Inc

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.