Dr. Jeremy John Marmo, D.C.
Chiropractor in Frankfort, IL. Individual provider (NPI-1).
NPI number1174629596
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1174629596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeremy John Marmo
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038-009806 | IL | Yes |
Practice location
301 N White StSuite Dd
Frankfort, IL 60423-1456
Phone 815-469-9270 · Fax 815-469-9544
Mailing address
301 N White StSuite Dd
Frankfort, IL 60423-1456
Phone 815-469-9270 · Fax 815-469-9544
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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