Sam Marzo, MD | |
2160 S 1st Ave, Maguire Center 1870, Maywood, IL 60153-3328 | |
(708) 216-9183 | |
(708) 216-4834 |
Full Name | Sam Marzo |
---|---|
Gender | Male |
Speciality | Otolaryngology - Otology & Neurotology |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699752568 | NPI | - | NPPES |
263532 | Other | IL | MEDICARE |
36088744 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0901X | Otolaryngology - Otology & Neurotology | 036-088744 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Sam Marzo, MD 2160 S 1st Ave, Maguire Center 1870, Maywood, IL 60153-3328 Ph: (708) 216-9183 | Sam Marzo, MD 2160 S 1st Ave, Maguire Center 1870, Maywood, IL 60153-3328 Ph: (708) 216-9183 |
Matthew Lowell Kircher, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-1676 | |
Cynthia Lynn Johnson, APRN Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Dr. Kelly Cunningham, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Building 105 Room 1870, Maywood, IL 60153 Phone: 708-216-1676 Fax: 708-216-4834 | |
Rohit Chatterjee, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 | |
Richard W Borrowdale, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maguire Center 1870, Maywood, IL 60153 Phone: 708-216-9183 Fax: 708-216-4834 | |
Dr. Samantha Y Cerasiello, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-1676 | |
Dr. Chirag Rajan Patel, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-1676 |