SearchIllinois183500000X

Marc Gaines

NPI 1649550229 · on the registry since 2011 · sole proprietor

Practice

Address
1165 County Line Rd
Highland Park, IL 60035
Phone
(847) 433-5514

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-26

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