Kevin J Marmo, is a
Student In An Organized Health Care Education/training Program physician based in Maywood, Illinois. Kevin J Marmo is licensed to practice in * (Not Available) (license number ) and his current practice location is 2160 S 1st Ave, Maywood, Illinois. He can be reached at his office (for appointments etc.) via phone at
(888) 584-7888.
NPI number for Kevin J Marmo is 1043159486 and his current mailing address is 39 Peach Tree Ln, Westmont, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043159486.
Physician's Profile
| Full Name | Kevin J Marmo |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2160 S 1st Ave, Maywood, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043159486
- Provider Enumeration Date: 03/27/2026
- Last Update Date: 05/26/2026
Medical Identifiers
Medical identifiers for Kevin J Marmo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043159486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 125.087851 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin J Marmo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kevin J Marmo, 39 Peach Tree Ln, Westmont, IL 60559-3463 Ph: (708) 793-0264 | Kevin J Marmo, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
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