Individual
MICHAEL MARINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(800) 444-6110
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036108943
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108943
—
IL
Enumeration date
07/18/2006
Last updated
06/19/2024
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