Marini, Kelly Anne
Marini, Kelly Anne is an sole proprietor health care provider with primary practice located at 555 S Rand Rd T-1036, Lake Zurich IL 60047-2356. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Marini, Kelly Anne can be contacted via phone (847) 726-2584.Contact Information
Primary practice address
555 S Rand Rd T-1036
Lake Zurich IL 60047-2356
Phone: (847) 726-2584
Fax: (847) 726-2584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051289620 | Illinois |
Profile Details
| NPI number | 1649565912 |
|---|---|
| LBN Legal business name | Marini, Kelly Anne |
| Credentials | PHARM D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2011 |
| Last updated | Jun 15th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649565912 | NPPES |
| Illinois | MEDICAID | 410215170036 |
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