Individual
DR. MICHAEL STEVEN MARINKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 INGALLS DR, NORTH 2 BLDG, HARVEY, IL 60426-3558
(708) 915-4767
(708) 589-1379
Mailing address
1 INGALLS DR, NORTH 2 BLDG, HARVEY, IL 60426-3558
(708) 915-4767
(708) 589-1379
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-095242
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-095242
—
IL
01
—
F400356113
PTAN
IL
Enumeration date
11/06/2006
Last updated
07/21/2022
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