Organization
MARQUETTE RADIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK M MARMO MD (PRESIDENT/PROVIDER)
(800) 354-1088
Entity
Organization
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-1662
(314) 631-4491
Mailing address
PO BOX 2153, BEDFORD PARK, IL 60499-2153
(800) 354-1088
(314) 631-4491
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634200
BCBS IL PIN
IL
Enumeration date
06/16/2005
Last updated
07/21/2022
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