# MARQUETTE ORTHOPEDIC LTD

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

## Provider details

- **NPI number:** 1770753204
- **Authorized official:** DR. ROBERT J SAWCHYN MD (PRESIDENT)
- **Authorized official phone:** (773) 586-0811

## Contact information

- **Practice address:** 6925 W ARCHER AVENUE, CHICAGO, IL 60638-2319
- **Practice address phone:** (773) 586-0811
- **Practice address fax:** (773) 586-0812
- **Mailing address:** 6925 W ARCHER AVENUE, CHICAGO, IL 60638-2319
- **Mailing address phone:** (773) 586-0811
- **Mailing address fax:** (773) 586-0812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 0360 44356 | IL | Yes |

## Other

- **Enumeration date:** 03/12/2008
- **Last updated:** 03/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001616762 | BLUE CROSS BLUE SHIELD | IL |
| 05 | — | 036044356 | — | IL |