Marilyn Dam Rabolt in Trout Valley - Psychiatric/mental Health, Adult
Marilyn Dam Rabolt - NPI 1326232372
Marilyn Dam Rabolt is a Psychiatric/mental Health, Adult in Trout Valley, Illinois. Marilyn Dam Rabolt practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Marilyn Dam Rabolt is 1326232372. The last update date is 2007-09-04.
Marilyn Dam Rabolt's current location address is 112 Marryat Rd, Trout Valley, Illinois. You can contact this provider via phone number 8474620600 and fax number 8474620600. The mailing address for Marilyn Dam Rabolt is 112 Marryat Rd, Trout Valley, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Dam Rabolt |
|---|---|
| Address | 112 Marryat Rd, Trout Valley, Illinois |
| Phone Number | 8474620600 |
| Fax Number | 8474620600 |
| Sole Proprietor | Y |
| Credentials | R.N., M.S. |
NPI Number Detail
| NPI Number | 1326232372 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | 112 Marryat Rd |
|---|---|
| City | Trout Valley |
| State | Illinois (IL) |
| Post Code | 600132644 |
| Phone Number | 8474620600 |
| Fax Number | 8474620600 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 163Wp0809X |
|
Definition: A psychiatric nurse who cares for adult patients. |
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What is the Marilyn Dam Rabolt's 1326232372?
The Marilyn Dam Rabolt's NPI (National Provider Identifier) Number is 1326232372. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Marilyn Dam Rabolt is physically located?
The Marilyn Dam Rabolt is physically situated at the following address: 112 Marryat Rd, Trout Valley, IL, 600132644.
What is the Marilyn Dam Rabolt's specialty and taxonomy code?
The Marilyn Dam Rabolt's specialty is Psychiatric/mental Health, Adult, and the corresponding taxonomy code is 163Wp0809X.
On what date did the Marilyn Dam Rabolt receive the assignment of its 1326232372 from the Centers for Medicare & Medicaid Services?
The Marilyn Dam Rabolt was issued its 1326232372 by the Centers for Medicare & Medicaid Services on 2007-09-04.
When was the Marilyn Dam Rabolt's information last updated?
The Marilyn Dam Rabolt's information was last updated on 2007-09-04.
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