Active NPI
MM Infusions LLC
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1720627862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MM INFUSIONS LLC
- Practice address
- 1605 S Michigan Ave Unit 1
Chicago, IL 60616-1209 - Phone
- (630) 533-4028
- NPI assigned
- Jan 6, 2020
- 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
- Manan Trivedi, MD
- Title
- Owner
- Phone
- (630) 533-4028
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X |
Addresses
Primary practice location
1605 S Michigan Ave Unit 1
Chicago, IL 60616-1209
Mailing address
16 N Carpenter St Unit 4S
Chicago, IL 60607-2199
Phone (630) 533-4028
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | clearketamine.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Chicago, IL
- NPI 1194067298
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578268800000",
"number": "1720627862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 N CARPENTER ST UNIT 4S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072199",
"telephone_number": "630-533-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 S MICHIGAN AVE UNIT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161209",
"telephone_number": "630-533-4028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MM INFUSIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A",
"authorized_official_last_name": "TRIVEDI",
"authorized_official_first_name": "MANAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-533-4028",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "clearketamine.com",
"affiliation": "N",
"address_1": "1605 S Michigan Ave Unit 1",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606161209",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 6, 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.