Individual provider Active NPI

Rory James Marrello, D.C.

  • Chiropractor
  • Oak Lawn, IL
National Provider Identifier
1952463093
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010497 Issued in IL
Practice address
10250 Central Ave
Oak Lawn, IL 60453-4602
Phone
(708) 601-7679
NPI assigned
Dec 14, 2006
Last updated
Aug 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010497 IL Primary

Addresses

Primary practice location

10250 Central Ave
Oak Lawn, IL 60453-4602

Mailing address

7003 W 114TH PL
Worth, IL 60482-2042
Phone (708) 448-3624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000290 IL Practitioner - Chiropractic 9335155720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7207 W College Dr
Palos Heights, IL 60463-1101
Phone (708) 361-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010497ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Platinum Chiropractic P.C. Chiropractor CurrentSince Dec 16, 2006 Accepting new patients
Integrative Health Associates, LTD Chiropractor Past Accepting new patients
Koah Chiropractic LLC Chiropractor PastSince Sep 15, 2024 Accepting new patients

Locations

10250 Central Ave
Oak Lawn, IL 60453
Phone (708) 423-1440

7207 W College Dr
Palos Heights, IL 60463
Phone (708) 261-6867

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1952463093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 W 114TH PL",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822042",
            "telephone_number": "708-448-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 CENTRAL AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534602",
            "telephone_number": "708-601-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRELLO",
        "first_name": "RORY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.