Marvin Neely

Primary specialty

Patient Transport Certified Respiratory TherapistTaxonomy code 2278P4000X

Practice address

341 Madison Ave
Calumet City, IL 60409-1708

Phone

(773) 664-1016

NPI assigned

Dec 10, 2018

Last updated

Dec 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1427529916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MADISON AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604091708",
            "telephone_number": "773-664-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MADISON AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604091708",
            "telephone_number": "773-664-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "MARVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Patient Transport",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Certified Respiratory Therapist in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Certified Respiratory Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.