| Donna Marino, Psy.d., Ltd | |
|
1101 Lake St Suite 310 Oak Park IL 60301-1085 | |
| (773) 882-0373 | |
| (708) 524-8758 |
| Full Name | Donna Marino, Psy.d., Ltd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1101 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Donna Marino (OWNER) |
| Authorized Official Contact | 7738820373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Marino, Psy.d., Ltd P.o. Box 613 Channahon IL 60410-0613 Ph: (815) 521-1889 | Donna Marino, Psy.d., Ltd 1101 Lake St Suite 310 Oak Park IL 60301-1085 Ph: (773) 882-0373 |
| NPI Number | 1184991507 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184991507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071006816 (Illinois) | Primary |
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