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Marilyn M C Lacrosse, MD
Family Medicine Physician in Crystal Lake, Illinois
NPI 1255376885

Marilyn M C Lacrosse is a Family Medicine Physician based in Crystal Lake, IL. Marilyn M C Lacrosse practices in Crystal Lake, IL and has the professional credentials of MD. The NPI Number for Marilyn M C Lacrosse is 1255376885 and holds a License No. 44165-020 (Illinois).

The current practice location address for Marilyn M C Lacrosse is 360 Station Dr, Crystal Lake, IL and can be reached out via phone at 815-338-6600 and via fax at 847-802-7112.

Location: 360 Station Dr, Crystal Lake, IL, 60014-7978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255376885
Provider Name
Marilyn M C Lacrosse
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
360 Station Dr, Crystal Lake, IL, 60014-7978
Phone Number
815-338-6600
Fax Number
847-802-7112
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34182500 05 WI
930116115 01 WI MEDICARE RAILROAD
036119800 01 IL STATE LICENSE
P00226727 01 WI MEDICARE RAILROAD
930123614 01 WI MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
360 Station Dr
City
Crystal Lake
State
Illinois
Zip
60014
Phone Number
815-338-6600
Fax Number
847-802-7112
person
Provider Business Mailing Address Details
Address
360 Station Dr
City
Crystal Lake
State
Illinois
Zip
60014
Phone Number
815-338-6600
Fax Number
847-802-7112
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
036-119800 (Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036119800 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
44165-020 (Wisconsin)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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