SAM MARZO (NPI# 1699752568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699752568 |
| Entity Type | Individual |
| Full Name | SAM MARZO |
| Credential | MD |
| Practice Address |
2160 S 1st Ave Maguire Center 1870 Maywood IL 60153-3328 |
| Practice Telephone | 7082169183 |
| Practice Fax Number | 7082164834 |
| Mailing Telephone | 7082169183 |
| Mailing Fax Number | 7082164834 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2011-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
036-088744 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE | 263532 | 01 |
| IL | 36088744 | 05 |
| Street Address |
2160 S 1ST AVE MAGUIRE CENTER 1870 |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962489823 | John Leonetti | Otolaryngology | 2160 S First Ave, Maguire Center 1870, Maywood, IL 60153 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760657381 | Heather Maureen Weinreich | Otolaryngology | 1855 W Taylor St Dept Of, Chicago, IL 60612-7242 | 2008-04-24 |
| 1669448056 | Griffith Hsu | Otolaryngology | 430 Pennsylvania Ave # 330, Glen Ellyn, IL 60137-4464 | 2006-02-24 |
| 1790029593 | Adventist Health Partners, Inc | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2990 | 2012-11-16 |
| 1609134063 | Terence Edward Imbery | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637 | 2012-04-24 |
| 1992905426 | Timothy C Hain, Md, PC | Otolaryngology | 645 N Michigan Ave, Suite 410, Chicago, IL 60611-2826 | 2007-07-23 |
| 1598982571 | Ear Institute of Chicago LLC | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2902 | 2007-04-19 |
| 1346315017 | Richard Mark Wiet | Otolaryngology | 1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 | 2006-11-21 |
| 1053491639 | Dennis M Moore Md Sc | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-10-17 |
| 1295832483 | Dennis Michael Moore | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-09-20 |
| 1033129762 | Arvind Kumar | Otolaryngology | 950 N York Rd, Suite 102, Hinsdale, IL 60521-2950 | 2006-08-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAM MARZO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.