Individual
DR. LINDA LOUISE MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
122 S MICHIGAN AVE, SUITE 1406, CHICAGO, IL 60603-6191
(312) 588-5022
Mailing address
122 S MICHIGAN AVE, SUITE 1406, CHICAGO, IL 60603-6191
(312) 588-5022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673126
BLUE CROSS BLUE SHIELD PR
IL
Enumeration date
03/18/2007
Last updated
07/08/2007
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