Active NPI
Marquette Orthopedic LTD
- Orthopaedic Surgery Physician
- Chicago, IL
National Provider Identifier
1770753204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0360 44356
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036044356 | Medicaid | IL | |
| 0001616762 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI 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.