Organization Active NPI

Marstech Healthcare Services, S.C.

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1417220617
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
MARSTECH HEALTHCARE SERVICES, S.C.
Doing business as
Marstech Healthcare Services, S. C.
Practice address
850 W Jackson Blvd
Suite # 650
Chicago, IL 60607-3032
Phone
(312) 497-6700
Fax
(630) 910-4294
NPI assigned
Feb 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Dr. Ram Gajjela
Title
President
Phone
(312) 497-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

850 W Jackson Blvd
Suite # 650
Chicago, IL 60607-3032

Mailing address

850 W Jackson Blvd
Suite # 650
Chicago, IL 60607-3032
Phone (312) 497-6700

Other names 1

  • Marstech Healthcare Services, S. C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1417220617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W JACKSON BLVD",
            "address_2": "SUITE # 650",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073032",
            "telephone_number": "312-497-6700",
            "fax_number": "630-910-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W JACKSON BLVD",
            "address_2": "SUITE # 650",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073032",
            "telephone_number": "312-497-6700",
            "fax_number": "630-910-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSTECH HEALTHCARE SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "GAJJELA",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-497-6700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marstech Healthcare Services, S. C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 2012; 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.