Search › Illinois › 104100000X
Kevin Marciniak
NPI 1043004906 · on the registry since 2025
Practice
- Address
- 101 E Deyoung St
Marion, IL 62959 - Phone
- (618) 693-9139
- Organisation at this address
- Timber View Wellness Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois