Stagno, Marilyn J.

Stagno, Marilyn J. is an sole proprietor health care provider with primary practice located at 6 East Cove Drive , South Barrington IL 60010-9527. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Stagno, Marilyn J. can be contacted via phone (847) 381-0571.

Contact Information

Primary practice address
6 East Cove Drive South Barrington IL 60010-9527
Phone: (847) 381-0571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-005066 Illinois
Behavioral Health & Social Service Providers / Forensic 103TF0200X 071-005066 Illinois
Behavioral Health & Social Service Providers / Health Service 103TH0100X 071-005066 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071-005066 Illinois

Profile Details

NPI number 1750446720
LBN Legal business name Stagno, Marilyn J.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Oct 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750446720 NPPES
Illinois Other 1607281 BLUE CROSS & BLUE SHIELD

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