Active NPI
Marian Orthopedic & Rehabilitation Centers SC
- Orthopaedic Surgery Physician
- Chicago, IL
National Provider Identifier
1245230747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036061666
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061666 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine Physician
- Omaha, NE
- NPI 1346291077
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.