Marco a Jarava MD SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARCO A JARAVA MD SC

Practice address

848 N Ashland Ave
Chicago, IL 60622-5147

Phone

(312) 421-1701

Fax

(312) 421-1702

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Marco A Jarava, M.D.

Title

President

Phone

(312) 421-1701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1891965646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225147",
            "telephone_number": "312-421-1701",
            "fax_number": "312-421-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225147",
            "telephone_number": "312-421-1701",
            "fax_number": "312-421-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO A JARAVA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "JARAVA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-421-1701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Lynn Marcin, MD
• Erika Marcinek, LCSW
• Christina Marciniak, MD
• Michelle Marie Marciniak, O.D.
• Lauren Anne Marciszyn, RD, LPC
• Alexis Jo Marcon, PHARMD
• Hernan Gerardo Marcos, MD
• Mary Ann Marcos
• Tara Marcoski
• Stephen V Marcoux, M.D.

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.