Marzo, Sam

Marzo, Sam is an individual health care provider with primary practice located at 2160 S 1St Ave Maguire Center 1870, Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Marzo, Sam can be contacted via phone (708) 216-9183.

Contact Information

Primary practice address
2160 S 1St Ave Maguire Center 1870 Maywood IL 60153-3328
Phone: (708) 216-9183
Fax: (708) 216-4834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X 036-088744 Illinois

Profile Details

NPI number 1699752568
LBN Legal business name Marzo, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jun 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699752568 NPPES
Illinois Other 263532 MEDICARE
Illinois MEDICAID 36088744 MEDICARE

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