Active NPI
Marvin Lora, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1104797588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038014360
- Practice address
- 5401 S Wentworth Ave
Chicago, IL 60609-6300 - Phone
- (312) 878-9172
- NPI assigned
- Sep 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038014360 | IL | Primary |
Addresses
Primary practice location
5401 S Wentworth Ave
Chicago, IL 60609-6300
Mailing address
2247 S Oakley Ave Unit 3
Chicago, IL 60608-3912
Phone (973) 816-4463
Other practice location 1
2041 W Division St
Chicago, IL 60622-8521
Phone (312) 624-8364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038014360 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pain Center of Illinois Inc. | Past | Accepting new patients | |
| Ashland Medical Specialist Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1033455118
-
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
- NPI 1053588079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1104797588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2247 S OAKLEY AVE UNIT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606083912",
"telephone_number": "973-816-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 S WENTWORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606096300",
"telephone_number": "312-878-9172"
}
],
"practiceLocations": [
{
"address_1": "2041 W Division St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606228521",
"country_code": "US",
"telephone_number": "312-624-8364",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORA",
"first_name": "MARVIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038014360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.