# MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245230747
- **Authorized official:** DR. JOHN J O'KEEFE M.D. (PRESIDENT)
- **Authorized official phone:** (312) 326-6100

## Contact information

- **Practice address:** 4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
- **Practice address phone:** (312) 326-6100
- **Practice address fax:** (773) 725-0097
- **Mailing address:** 39654 TREASURY CTR, CHICAGO, IL 60694-9000
- **Mailing address phone:** (312) 326-6100
- **Mailing address fax:** (773) 725-0097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036061666 | IL | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 10/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036061666 | — | IL |