Organization
MARIAN ORTHOPEDIC & REHABILITATION CENTERS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J O'KEEFE M.D. (PRESIDENT)
(312) 326-6100
Entity
Organization
Contact information
Practice address
4849 W FULLERTON AVE, CHICAGO, IL 60639-2503
(312) 326-6100
(773) 725-0097
Mailing address
39654 TREASURY CTR, CHICAGO, IL 60694-9000
(312) 326-6100
(773) 725-0097
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036061666
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061666
—
IL
Enumeration date
07/26/2005
Last updated
10/06/2015
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