Individual
MS. MARILYN DAM RABOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., M.S.N.
Contact information
Practice address
112 MARRYAT RD, TROUT VALLEY, IL 60013-2644
(847) 462-0600
(847) 462-0600
Mailing address
112 MARRYAT RD, TROUT VALLEY, IL 60013-2644
(847) 462-0600
(847) 462-0600
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
IL
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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