Marino, Donna M
Marino, Donna M is an individual health care provider with primary practice located at 1101 Lake St Ste 310, Oak Park IL 60301-1085. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Marino, Donna M can be contacted via phone (773) 882-0373.Contact Information
Primary practice address
1101 Lake St Ste 310
Oak Park IL 60301-1085
Phone: (773) 882-0373
Fax: (708) 524-8758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071006816 | Illinois |
Profile Details
| NPI number | 1053427963 |
|---|---|
| LBN Legal business name | Marino, Donna M |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Nov 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053427963 | NPPES |
| Illinois | Other | 01623882 | BLUE CROSS BLUE SHIELD |
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