Individual provider Active NPI

Sergio Ortega-Marquez, DC

  • Chiropractor
  • La Grange, IL
National Provider Identifier
1194446641
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013905 Issued in IL
Practice address
442 Sherwood Rd
La Grange, IL 60526-1968
Phone
(708) 354-9599
Fax
(708) 354-9799
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.013905 IL Primary

Addresses

Primary practice location

442 Sherwood Rd
La Grange, IL 60526-1968

Mailing address

442 Sherwood Rd
La Grange, IL 60526-1968
Phone (708) 354-9599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230324001563 IL Practitioner - Chiropractic 1254705676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orland Park Integrated Health LTDGroup PAC ID 7315222437, 2 clinicians

Practice addresses (Care Compare)

9441 W 144TH PL
Suite 200
Orland Park, IL 60462-2543
Phone (708) 403-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013905ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Rehabilitation, LTD Single Specialty CurrentSince Jan 23, 2023 Accepting new patients
Orland Park Integrated Health,LTD. Chiropractor CurrentSince May 1, 2025 Accepting new patients

Locations

442 Sherwood Rd
La Grange Pk, IL 60526
Phone (630) 432-5741

9441 W 144th Pl
Ste 20
Orland Park, IL 60462

9441 W 144th Pl
Ste 200
Orland Park, IL 60462
Phone (708) 403-2727

9441 W 144th Pl
#100
Orland Park, IL 60462

9441 W 144th Pl
Orland Park, IL 60462
Phone (708) 403-2727

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1194446641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 SHERWOOD RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605261968",
            "telephone_number": "708-354-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 SHERWOOD RD",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605261968",
            "telephone_number": "708-354-9599",
            "fax_number": "708-354-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA-MARQUEZ",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.

Verify at the official NPI Registry.