Individual
MARSHALL LEWIS DINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 803-1000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-137850
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036-137850
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
336-099097
IL
Other
Enumeration date
07/17/2010
Last updated
03/18/2026
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