Tripp, Marian Mary

Tripp, Marian Mary is an individual health care provider with primary practice located at 8201 E Riverside Blvd , Rockford IL 61114-2300. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Tripp, Marian Mary can be contacted via phone (815) 971-4066.

Contact Information

Primary practice address
8201 E Riverside Blvd Rockford IL 61114-2300
Phone: (815) 971-4066
Fax: (815) 971-9299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036147046 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036147046 Illinois

Profile Details

NPI number 1316334287
LBN Legal business name Tripp, Marian Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2015
Last updated Nov 19th, 2025 - about last year

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 1316334287 NPPES
Illinois MEDICAID 125067058
Illinois MEDICAID 1316334287

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