Mary Jane Marren, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

056001061 Issued in IL

Practice address

2014 W 102ND St
Chicago, IL 60643-2027

Phone

(773) 636-3418

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1992845531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 W 102ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432027",
            "telephone_number": "773-636-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 W 102ND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432027",
            "telephone_number": "773-636-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARREN",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "056001061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071647296",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0061649364",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Marra, LCSW
• Guido Marra, MD
• Isabella Marranzini Rodriguez, MD
• Joseph Anthony Marrara, M.D.
• Elise Marren, MD
• Lena Marrero
• Olga I Marrero, R.N., IBCLC
• Robert A Marrero Jr., DDS
• Arpitha Marri, D.D.S
• Emily Marri, MPAS, PA-C

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.