Look up the most recent NPI and PECOS records

Sebastian Mariategui

Surgery

Allopathic & Osteopathic Physicians

1969 W Ogden Ave, Chicago, IL 60612-3765

PECOS Enrollment

Based on the most recent information from CMS, provider Sebastian Mariategui is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1386489946
Provider Type
Individual
Full Name
Mariategui, Sebastian
Title
Dr.
Credential
DO

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/26/2024
Last Updated
6/26/2024

Contact Information

Practice Location

1969 W Ogden Ave, Chicago, IL 60612-3765

(312) 864-2730

Unlisted Fax

Mailing Location

1105 Pleasant St Unit 316, Oak Park, IL 60302-0004

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125.084918 Illinois

Sebastian Mariategui

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sun, Alexander Paul

Dennis, Andrew Jay

Alqadi, Murad Majed

Eapen, Paul

Starr, Frederic L

Mccarthy, Caline

Makiewicz, Kristine Urban

Sutherland, Grant

Alayoubi, Mhd Besher

Boyman, Elizabeth Sarah Chang