SAM MARZO MD
NPI 1699752568
Otolaryngology - Otology & Neurotology in Maywood, IL

Q: What is Sam Marzo's NPI number?

The NPI number for Sam Marzo is 1699752568. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Sam Marzo's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Q: When was this NPI record last updated?

The NPPES record for Sam Marzo was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 30, 2005PECOS Enrolled

2160 S 1ST AVE, MAGUIRE CENTER 1870, MAYWOOD, IL 60153(708) 216-9183(708) 216-4834 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sam Marzo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM MARZO MD (NPI 1699752568) is an individual otology & neurotology provider in Maywood, Illinois, licensed in Illinois (036-088744) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699752568

Entity TypeIndividualMale

Primary Taxonomy207YX0901X

Provider Legal NameSAM MARZOCredential: MD

Location Address2160 S 1ST AVE, MAGUIRE CENTER 1870Maywood, IL 60153-3328

Mailing Address2160 S 1st Ave, Maguire Center 1870Maywood, IL 60153-3328 · (708) 216-9183 · Fax (708) 216-4834

Phone(708) 216-9183

Fax(708) 216-4834

Sole ProprietorNo

Enumeration DateDecember 30, 2005

Last NPPES UpdateJune 17, 2011

✔ NPI 1699752568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians

Taxonomy Code207YX0901X

License✔ Licensed in IL · 036-088744

Definition

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

2160 S 1ST AVE, Maywood, IL 60153

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Other Identifiers 4

Other263532IL · Medicare

Medicare UPING52961

Medicare ID-Type UnspecifiedL81114IL

Medicaid36088744IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam Marzo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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