Organization Active NPI

Marquette Orthopedic LTD

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1770753204
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0360 44356 Issued in IL
Legal business name
MARQUETTE ORTHOPEDIC LTD
Practice address
6925 W Archer Avenue
Chicago, IL 60638-2319
Phone
(773) 586-0811
Fax
(773) 586-0812
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Robert J Sawchyn, MD
Title
President
Phone
(773) 586-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 0360 44356 IL Primary

Addresses

Primary practice location

6925 W Archer Avenue
Chicago, IL 60638-2319

Mailing address

6925 W Archer Avenue
Chicago, IL 60638-2319
Phone (773) 586-0811

Other identifiers 2

IdentifierTypeStateIssuer
036044356MedicaidIL
0001616762OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1770753204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 W ARCHER AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382319",
            "telephone_number": "773-586-0811",
            "fax_number": "773-586-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 W ARCHER AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382319",
            "telephone_number": "773-586-0811",
            "fax_number": "773-586-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE ORTHOPEDIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "SAWCHYN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-586-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "0360 44356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044356",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001616762",
            "state": "IL"
        }
    ],
    "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 Mar 12, 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.