MTM Services

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

MTM SERVICES

Practice address

1524 S Sangamon St Unit 512
Chicago, IL 60608-2268

Phone

(312) 850-2415

Fax

(312) 850-2415

NPI assigned

Apr 18, 2008

Last updated

Apr 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael T Ma, PHARM.D.

Title

Owner

Phone

(312) 420-5556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1760656987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 S SANGAMON ST UNIT 512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082268",
            "telephone_number": "312-850-2415",
            "fax_number": "312-850-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 S SANGAMON ST UNIT 512",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082268",
            "telephone_number": "312-850-2415",
            "fax_number": "312-850-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-420-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Sinai Pediatric Center
• Mt Sinai Pediatric Center FFS
• Mt. Greenwood Dental Clinic
• Mt. Sinai Hospital
• Mt. Sinai Hospital Medical Center (Sinai Childrens Hospital)
• MTN Proactive Rehab, LTD.
• Brian Hanchun Mu, MD
• Juanata Mua
• Samer Nabil Muallem, M.D.
• Ghassan M Mubarak

• Clinic Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.