Keith A. Marino CRNA

NPI 1104841451 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1104841451
Gender Male
Enumeration Date 07/13/2006
Last Updated 03/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1901 W HARRISON ST
CHICAGO IL, 60612-3714, US
Phone (312) 400-2978
Fax
Business Location
1272 DROVER DR
LEMONT IL, 60439-7348, US
Phone (708) 299-9858
Fax
Toxanomy
Taxonomy Code 367500000X
License State Illinois
License Number 209-003972
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According to our database, Mr. Keith A. Marino CRNA NPI is 1104841451, taxonomy code is 367500000X and license number is 209-003972, license state is located at Illinois. Keith A. Marino CRNA physically located at 1901 W Harrison St, Chicago IL, 60612-3714. NPI Number Keith A. Marino CRNA has the Individual type.

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1104841451 NPI number is provided on an as is basis without warranty of any kind. 1104841451 is maintained by the National Plan & Provider Enumeration System. The contents of Keith A. Marino CRNA are for informational purposes only.