Marilyn M C Lacrosse
Family Doctor Emergency Physician Adolescent Medicine
360 Station Dr
Crystal Lake
, Illinois 60014
Marilyn M C Lacrosse
Family Doctor Emergency Physician Adolescent Medicine
360 Station Dr
Crystal Lake
, Illinois 60014
(815) 455-8044
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About
Features
Specialties
- Emergency Physician
- Family Doctor
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Marilyn M C Lacrosse
- 360 Station Dr
- Crystal Lake, IL
- Zip : 60014-7978
- Fax : (815) 455-8044
- Phone : (815) 338-6600
Second Address
- Marilyn M C Lacrosse
- 360 Station Dr
- Crystal Lake, IL
- Zip : 60014
- Fax : (847) 802-7112
- Phone : (815) 338-6600
Reviews
FAQs
Where did Marilyn M C Lacrosse attend graduate school?
Where did Marilyn M C Lacrosse do her residency?
Where did Marilyn M C Lacrosse do her fellowship?
Is Marilyn M C Lacrosse board certified?
What type of doctor is Marilyn M C Lacrosse
In what state does Marilyn M C Lacrosse practice in?
Where is Marilyn M C Lacrosse ’s practice located?
What is Marilyn M C Lacrosse ’s gender?
Is Marilyn M C Lacrosse a sole practitioner?
Is Marilyn M C Lacrosse accepting new patients?
What languages does Marilyn M C Lacrosse speak?
Does Marilyn M C Lacrosse accept insurance?
Does Marilyn M C Lacrosse offers telemedicine?
What is Marilyn M C Lacrosse ’s professional license number?
What is Marilyn M C Lacrosse ’s NPI number?
Does Marilyn M C Lacrosse have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 036119800 | IL |
| N | 207P00000X | Emergency Physician | 44165-020 | WI |
| Y | 207Q00000X | Family Doctor | 036119800 | IL |
| N | 2080A0000X | Adolescent Medicine | 036-119800 | IL |
National Provider Identifier
| NPI | 1255376885 |
|---|---|
| Provider Name | Marilyn M C Lacrosse |
| First Address | Crystal Lake, IL 60014-7978 |
| Second Address | Crystal Lake, IL 60014 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2006 |
| Last Update Date | 07/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036119800 | STATE LICENSE (01) | IL |
| 34182500 | (05) | WI |
| 930116115 | MEDICARE RAILROAD (01) | WI |
| 930123614 | MEDICARE RAILROAD (01) | WI |
| G64301 | (02) | |
| P00226727 | MEDICARE RAILROAD (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.