Individual provider Active NPI

Michael James Dimarco, MD

  • General Practice Physician
  • Morton Grove, IL
National Provider Identifier
1265878193
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036143520 Issued in IL
Practice address
8125 River Dr Ste 102
Morton Grove, IL 60053-2642
Phone
(847) 470-1720
Fax
(847) 470-1723
NPI assigned
May 19, 2013
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-44888 IA
Family Medicine Physician 207Q00000X A137583 CA
General Practice Physician 208D00000X 036143520 IL Primary

Addresses

Primary practice location

8125 River Dr Ste 102
Morton Grove, IL 60053-2642

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (563) 344-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012000426 IL Practitioner - Family Practice 6800197088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3145 S Ashland Ave
Suite 110
Chicago, IL 60608-6248
Phone (773) 254-5516

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A137583CAMDFamily Medicine Physician
MD-44888IAMDFamily Medicine Physician
036143520ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Illinois PC CurrentSince Nov 14, 2025 Accepting new patients
Genesis Health System Family Medicine Past Accepting new patients
Hammond Henry Dist Hospital Past Accepting new patients

Locations

3145 S Ashland Ave
Ste 110
Chicago, IL 60608
Phone (773) 254-5516

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

8125 River Dr
Ste 102
Morton Grove, IL 60053
Phone (847) 470-1720

Interoperability endpoints

  • Direct secure messaging: michael.dimarco@direct.genesishealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1265878193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "563-344-2240",
            "fax_number": "319-356-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 RIVER DR STE 102",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532642",
            "telephone_number": "847-470-1720",
            "fax_number": "847-470-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARCO",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-19",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-44888",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A137583",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036143520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.