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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARILYN M C LACROSSE, M.D.

Active

MARILYN M C LACROSSE, M.D. is a Family Medicine healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1255376885 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CRYSTAL LAKE, IL

Registration Details

NPI Number
1255376885
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2006 (20.1299183422 yrs)
Last Updated
Jun 7, 2018
Licenses
44165-020 (WI)
036119800 (IL)
036-119800 (IL)
036119800 (IL)

Practice Information

Address
360 STATION DR
CRYSTAL LAKE, IL, 60014
Browse IL providers · Browse ZIP 60014
Phone
8153386600
Fax
8478027112
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Emergency Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in CRYSTAL LAKE, IL

Name Credential NPI
JAMIE GANCAYCO MD 1669470431
NATALIE KOSTINSKY M.D. 1205835881
MATILDA M ROSANWO MD 1871570978
DR. JOHN S BALOCKI DO 1801856117
YANBING LI M.D. 1104843739
MORIAH BANG D.O. 1750393310
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.