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NPI Code Detail

MEDICARE: DR. FRANK MARMO MD

MEDICARE: DR. FRANK MARMO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician036065243IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538166236
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK MARMO MD
Provider Business Mailing Address
First Line : PO BOX 2153
Second Line :
City : BEDFORD PARK
State : IL
Zip : 60499-2153
Country : US
Telephone Number : 800-354-1088
Fax Number : 314-631-4491
Provider Business Practice Location Address
First Line : 2701 W 68TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1813
Country : US
Telephone Number : 773-884-9000
Fax Number : 314-631-4491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/09/2026

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