Active NPI
Christine Marneris, M.A., CCC-A
- Audiologist
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001113
- Practice address
- 1 Stuart Dr
Kankakee, IL 60901-8947 - Phone
- (815) 939-3651
- Fax
- (815) 939-7236
- NPI assigned
- Sep 6, 2007
- Last updated
- Oct 22, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147001113 | Primary |
Addresses
Primary practice location
1 Stuart Dr
Kankakee, IL 60901-8947
Mailing address
1 Stuart Dr
Kankakee, IL 60901-8947
Phone (815) 939-3651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3417000004001 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1948 Three Farms Ave
Naperville, IL 60540-1105
Phone (630) 355-5668
2650 Ridge Ave
Evanston, IL 60201-1700
608 S Washington St
Suite 300
Naperville, IL 60540-6657
Phone (630) 357-5287
608 S Washington St
Suite 311
Naperville, IL 60540-6664
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naperville Ear, Nose and Throat Associates., LTD. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Edward Health Ventures | Current | Accepting new patients | |
| Naperville Hearing Services PLLC | Audiologist | Current | Accepting new patients |
| Edward Health Ventures | Current | Accepting new patients | |
| Kankakee Area Special Education Cooperative | Past | Accepting new patients | |
| Kankakee Area Special Education Coop | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
10 Martin Ave
Naperville, IL 60540
Phone (630) 355-5668
10 Martin Ave
Ste 260
Naperville, IL 60540
Phone (630) 355-5668
120 Spalding Dr
Naperville, IL 60540
Phone (630) 527-5575
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575
1948 Three Farms Ave
Naperville, IL 60540
Phone (630) 355-5633
608 S Washington St
Ste 300
Naperville, IL 60540
Phone (630) 357-5287
Organizations & group practices 8
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.
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
-
- Audiologist
- Naperville, IL
- NPI 1831718618
-
- Multi-Specialty Clinic/Center
- Bolingbrook, IL
- NPI 1962452912
-
- Otolaryngology Physician
- Naperville, IL
- NPI 1205875119
-
- Multi-Specialty Clinic/Center
- Naperville, IL
- NPI 1831149889
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Local Education Agency (LEA)
- Kankakee, IL
- NPI 1962680702
-
- Local Education Agency (LEA)
- Kankakee, IL
- NPI 1104941087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1396930046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 STUART DR",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609018947",
"telephone_number": "815-939-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 STUART DR",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609018947",
"telephone_number": "815-939-3651",
"fax_number": "815-939-7236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARNERIS",
"first_name": "CHRISTINE",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": "147001113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3417000004001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.