Archil, Marie G
Archil, Marie G is an individual health care provider with primary practice located at 1101 Pembridge Dr , Lake Forest IL 60045-4222. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Archil, Marie G can be contacted via phone (847) 604-6639.Contact Information
Primary practice address
1101 Pembridge Dr
Lake Forest IL 60045-4222
Phone: (847) 604-6639
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Gerontology | 163WG0600X | 041328534 | Illinois |
Profile Details
| NPI number | 1053087353 |
|---|---|
| LBN Legal business name | Archil, Marie G |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2021 |
| Last updated | Aug 18th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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