Organization
MARQUETTE ORTHOPEDIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J SAWCHYN MD (PRESIDENT)
(773) 586-0811
Entity
Organization
Contact information
Practice address
6925 W ARCHER AVENUE, CHICAGO, IL 60638-2319
(773) 586-0811
(773) 586-0812
Mailing address
6925 W ARCHER AVENUE, CHICAGO, IL 60638-2319
(773) 586-0811
(773) 586-0812
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0360 44356
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001616762
BLUE CROSS BLUE SHIELD
IL
05
—
036044356
—
IL
Enumeration date
03/12/2008
Last updated
03/12/2008
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