OrganizationActive
Med Mk LLC
NPI 1124776661 · Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1124776661
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mayyurathan Kanaggappah Maheswara, President(312) 483-3171
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1785 W Howard St
Chicago, IL 60626-1626
Phone: (312) 483-3171
Street-level locationGet directions
Mailing address
7120 N Sheridan Rd Apt 304
Chicago, IL 60626-2906
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.