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Individual

MARINO ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
251 E. HURON STREET, SUITE 5-704 FEINBERG PAVILION, CHICAGO, IL 60611
(312) 695-6594
Mailing address
680 N LAKE SHORE DR STE 1000, CHICAGO, IL 60611-8709
(312) 695-0665
(312) 695-6594

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007919
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00824598
RAILROAD MEDICARE
IL
Enumeration date
01/07/2010
Last updated
05/29/2018
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