Active NPI
Maruti Bhorade, M.D.
- Nephrology Physician
- Chicago, IL
National Provider Identifier
1801895263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MARUTI BHORADE, M.D.
- Practice address
- 2233 W Division St
Chicago, IL 60622-3043 - Phone
- (630) 770-2172
- NPI assigned
- Jul 19, 2005
- 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
- Kathryn J Canny
- Title
- Business Manager
- Phone
- (630) 960-9222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | IL | Primary |
Addresses
Primary practice location
2233 W Division St
Chicago, IL 60622-3043
Mailing address
520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542
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.
-
- Nephrology Physician
- Chicago, IL
- NPI 1790898518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1801895263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 22ND ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486110",
"telephone_number": "630-874-2542",
"fax_number": "630-874-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606223043",
"telephone_number": "630-770-2172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARUTI BHORADE, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CANNY",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "630-960-9222"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.