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Keith A. Marino, CRNA

Nurse Anesthetist, Certified Registered in Chicago, IL. Individual provider (NPI-1).

NPI number1104841451
StatusActive
Last updated in NPPESApr 27, 2021

Details

NPI
1104841451
Entity type
Individual (NPI-1)
Name
Mr. Keith A. Marino
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 13, 2006
Certification date
Apr 27, 2021
Last updated
Apr 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered209-003972ILYes

Practice location

1901 W Harrison St
Chicago, IL 60612-3714

Phone 312-400-2978

Mailing address

1272 Drover Dr
Lemont, IL 60439-7348

Phone 708-299-9858

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