Organization Active NPI

Marian Orthopedic & Rehabilitation Centers SC

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1245230747
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036061666 Issued in IL
Legal business name
MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC
Practice address
4849 W Fullerton Ave
Chicago, IL 60639-2503
Phone
(312) 326-6100
Fax
(773) 725-0097
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. John J O'Keefe, M.D.
Title
President
Phone
(312) 326-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 036061666 IL Primary

Addresses

Primary practice location

4849 W Fullerton Ave
Chicago, IL 60639-2503

Mailing address

39654 Treasury Ctr
Chicago, IL 60694-9000
Phone (312) 326-6100

Other identifiers 1

IdentifierTypeStateIssuer
036061666MedicaidIL

National Provider Directory

National Provider Directory

Locations

75 Remittance Dr
Dept 6073
Chicago, IL 60675

39654 Treasury Ctr
Chicago, IL 60694

2835 Momentum Pl
Chicago, IL 60689

2715 N Central Ave
#B
Chicago, IL 60639
Phone (312) 326-6100

1375 E Schaumburg Rd
Ste 230
Schaumburg, IL 60194
Phone (847) 895-4540

655 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 891-1112

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1245230747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39654 TREASURY CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606949000",
            "telephone_number": "312-326-6100",
            "fax_number": "773-725-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392503",
            "telephone_number": "312-326-6100",
            "fax_number": "773-725-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-326-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036061666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061666",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.