Marine One, LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

MARINE ONE, LLC

Practice address

610 Newcastle Dr
Lake Forest, IL 60045-2783

Phone

(847) 226-5458

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. John Bailey Hempstead III

Title

President

Phone

(847) 226-5458

Specialties & licenses 1

Addresses

Other names 1

• Marine 1 Transit Doing business as

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1720528912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NEWCASTLE DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452783",
            "telephone_number": "847-226-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NEWCASTLE DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452783",
            "telephone_number": "847-226-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINE ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "HEMPSTEAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-226-5458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marine 1 Transit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shayna Mancuso, D.O.
• Priyal P Mangrola, DMD
• Corinne Manny
• Shana Leah Margolis, M.D.
• Deborah M Margulis, MD
• Amanda Marks, PA-C
• Julia M Marshall, MD
• Katherine McArdle Martinez, MS, OTR/L, CHT
• Richard P. Martino, DDS
• Mass Medical, S.C.

• Private Vehicle in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Private Vehicle in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.