Active NPI
Marstech Healthcare Services, S.C.
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1417220617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 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.
National Provider Directory
National Provider DirectoryNPI 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.