| Doctor Name: | MARYELLEN NARDOMARINO |
| NPI Number: | 1780773515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT PHYSICAL THERAPIS |
| License Number: | 070009664 |
| Business Practice Address: | 350 S Greenleaf St Suite 403 Gurnee, IL - 600315709 |
| Business Phone Number: | 8475967640 |
| Business Fax Number: | 8475967641 |
| Mailing Address: | 900 Rand Rd, Suite 300 DES PLAINES |
| State: | IL |
| Postal Code: | 600162359 |
| Phone Number: | 8473243976 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070009664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |