Active NPI
Jeremy John Marmo, D.C.
- Chiropractor
- Frankfort, IL
National Provider Identifier
1174629596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 301 N White St
Suite DD
Frankfort, IL 60423-1456 - Phone
- (815) 469-9270
- Fax
- (815) 469-9544
- NPI assigned
- Sep 15, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
301 N White St
Suite DD
Frankfort, IL 60423-1456
Mailing address
301 N White St
Suite DD
Frankfort, IL 60423-1456
Phone (815) 469-9270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101025001359 | IL | Practitioner - Chiropractic | 7113110909 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 N White St
Suite DD
Frankfort, IL 60423-4016
Phone (815) 469-9270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009806 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marmo Spine & Rehab, LTD | Chiropractor | Current | Accepting new patients |
Locations
301 N White St
Ste Dd
Frankfort, IL 60423
Phone (815) 469-9270
Organizations & group practices 1
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.
-
- Chiropractor
- Frankfort, IL
- NPI 1154535011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174629596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N WHITE ST",
"address_2": "SUITE DD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231456",
"telephone_number": "815-469-9270",
"fax_number": "815-469-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N WHITE ST",
"address_2": "SUITE DD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231456",
"telephone_number": "815-469-9270",
"fax_number": "815-469-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMO",
"first_name": "JEREMY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.