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:
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Health care specialties

SpecialtyCodeLicense #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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