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NPI Code Detail

MEDICARE: MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC

MEDICARE: MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician036061666IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245230747
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC
Provider Business Mailing Address
First Line : 39654 TREASURY CTR
Second Line :
City : CHICAGO
State : IL
Zip : 60694-9000
Country : US
Telephone Number : 312-326-6100
Fax Number : 773-725-0097
Provider Business Practice Location Address
First Line : 4849 W FULLERTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-2503
Country : US
Telephone Number : 312-326-6100
Fax Number : 773-725-0097
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN J O'KEEFE
Credential : M.D.
Telephone Number : 312-326-6100
Provider Enumeration Date : 07/26/2005
Last Update Date : 10/06/2015

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Directions to “MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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