Search › Illinois › 183500000X
Keith Marry
NPI 1841776994 · on the registry since 2018
Practice
- Address
- 2642 Charles St
Rockford, IL 61108 - Phone
- (815) 484-2461
- Fax
- (815) 484-2462
- Organisation at this address
- Highland Park Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
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
- 2018-07-12
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