Marilyn M C Lacrosse in Crystal Lake - Emergency Medicine
Marilyn M C Lacrosse - NPI 1255376885
Marilyn M C Lacrosse is a Emergency Medicine in Crystal Lake, Illinois. Marilyn M C Lacrosse practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Marilyn M C Lacrosse is 1255376885. The last update date is 2018-06-07.
Marilyn M C Lacrosse's current location address is 360 Station Dr, Crystal Lake, Illinois. You can contact this provider via phone number 8153386600 and fax number 8154558044. The mailing address for Marilyn M C Lacrosse is 360 Station Dr, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn M C Lacrosse |
|---|---|
| Address | 360 Station Dr, Crystal Lake, Illinois |
| Phone Number | 8153386600 |
| Fax Number | 8154558044 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255376885 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2018-06-07 |
Provider Mailing Address Detail
| Address | 360 Station Dr |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600147978 |
| Phone Number | 8153386600 |
| Fax Number | 8154558044 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 44165-020 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34182500 | WI | -- | |
| 930116115 | WI | MEDICARE RAILROAD | |
| 36119800 | IL | STATE LICENSE | |
| P00226727 | WI | MEDICARE RAILROAD | |
| 930123614 | WI | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Marilyn M C Lacrosse's unique identification number?
The Marilyn M C Lacrosse has been assigned the NPI (National Provider Identifier) Number 1255376885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Marilyn M C Lacrosse?
The Marilyn M C Lacrosse is physically situated at 360 Station Dr, in the city of Crystal Lake, state of IL, with the postal code 600147978.
What is Marilyn M C Lacrosse's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marilyn M C Lacrosse's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255376885 to Marilyn M C Lacrosse?
The Centers for Medicare & Medicaid Services assigned the 1255376885 to Marilyn M C Lacrosse on 2006-06-18.
As of what date was the information regarding Marilyn M C Lacrosse, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marilyn M C Lacrosse, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-06-07.