Search › Illinois › 363LP2300X
Marissa Mallinckrodt, NP
NPI 1821966961 · on the registry since 2025
Practice
- Address
- 505 Skokie Blvd
Wilmette, IL 60091 - Phone
- (847) 893-1020
- Organisation at this address
- Images Med Spa Old Orchard Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-29
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