Kathleen P Marino

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

7N340 Medinah Rd
Medinah, IL 60157-9622

Phone

(630) 973-3152

NPI assigned

May 16, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1952660516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "MEDINAH",
            "state": "IL",
            "postal_code": "601570164",
            "telephone_number": "630-973-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7N340 MEDINAH RD",
            "city": "MEDINAH",
            "state": "IL",
            "postal_code": "601579622",
            "telephone_number": "630-973-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "KATHLEEN",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elwan Medical Associates
• Philip Frystak, DDS
• Aleksandra Gierasimiuk
• International Therapy Partners
• Laugh & Learn Educational Services, LTD.
• Medinah Spine & Rehabilitation LTD
• Lauren Ashley Prena, M.ED.
• Alyvia Kathryn Susan Provost, M.S., CF-SLP
• Nicole Rood, MA, CCC-SLP
• Jehu Ruelo Rueles

• Developmental Therapist in Medinah, IL
• Providers in Medinah, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.