Individual provider Active NPI

Marco Anthony Martusciello, DC

  • Chiropractor
  • Norridge, IL
National Provider Identifier
1982365185
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013818 Issued in IL
Practice address
7830 Lawerence Ave.
Norridge, IL 60706-6048
Phone
(708) 751-8000
Fax
(708) 457-1333
NPI assigned
Jan 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.013818 IL Primary

Addresses

Primary practice location

7830 Lawerence Ave.
Norridge, IL 60706-6048

Mailing address

7830 Lawerence Ave.
Norridge, IL 60706
Phone (708) 751-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220215000487 IL Practitioner - Chiropractic 6709279722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norridge Chiropractic Clinic LTDGroup PAC ID 2062400708, 5 clinicians

Practice addresses (Care Compare)

8240 S Wolf Rd
Willow Springs, IL 60480-1084
Phone (708) 839-2852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013818ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Norridge Chiropractic Clinic LTD Chiropractor CurrentSince Jan 28, 2022 Accepting new patients

Locations

8323 W Lawrence Ave
Ste A
Norridge, IL 60706

8323 W Lawrence Ave
Ste Ab
Norridge, IL 60706
Phone (708) 457-8000

7830 W Lawrence Ave
Norridge, IL 60706
Phone (708) 457-8000

8240 Wolf Rd
Willow Springs, IL 60480
Phone (708) 457-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1982365185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 LAWERENCE AVE.",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "60706",
            "telephone_number": "708-751-8000",
            "fax_number": "708-457-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 LAWERENCE AVE.",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607066048",
            "telephone_number": "708-751-8000",
            "fax_number": "708-457-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUSCIELLO",
        "first_name": "MARCO",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.