Organization Active NPI

Agile Technologies LLC

  • Public Health or Welfare Agency
  • Chicago, IL
National Provider Identifier
1518573096
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
AGILE TECHNOLOGIES LLC
Practice address
55 E Monroe St Ste 3800
Chicago, IL 60603-6030
Phone
(312) 388-3513
NPI assigned
Sep 19, 2020
Last updated
Sep 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Authorized official

Name
Roderick Martin
Title
Managing Member
Phone
(877) 424-4534

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

55 E Monroe St Ste 3800
Chicago, IL 60603-6030

Mailing address

55 E Monroe St Ste 3800
Chicago, IL 60603-6030
Phone (877) 424-4534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600473600000",
    "number": "1518573096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E MONROE ST STE 3800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036030",
            "telephone_number": "877-424-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E MONROE ST STE 3800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036030",
            "telephone_number": "312-388-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILE TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "877-424-4534"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2020; 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.