MK Ortho Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MK ORTHO EQUIPMENT, LLC

Practice address

1511 S Indiana Ave Unit G
Chicago, IL 60605-3358

Phone

(630) 330-9596

NPI assigned

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Keri Tarantino

Title

Authorizing Agent

Phone

(913) 526-5282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1851958466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S INDIANA AVE UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 S INDIANA AVE UNIT G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053358",
            "telephone_number": "630-330-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK ORTHO EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "AUTHORIZING AGENT",
        "authorized_official_telephone_number": "913-526-5282"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJT Podiatry SC
• MK Chiropractic
• MK Counseling and Wellness, PLLC
• MK Dental Inc
• MK Home Healthcare LLC
• MKM Therapy PLLC
• Edward H Mkrdichian, MD
• Mark Mkrdichian, D.D.S.
• Rebecca Rose Mladucky, PT, DPT
• MLM Massage LLC

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.