MARILYN M. LACROSSE M.D. – NPI #1255376885
Family Medicine

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.

MARILYN LACROSSE is a physician located in CRYSTAL LAKE, IL. NPPES has assigned the NPI number 1255376885 to MARILYN LACROSSE on June 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name MARILYN M CUENCA. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Jun 07, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARILYN LACROSSE below.

NPI Profile for
MARILYN M. LACROSSE

NPI Number
1255376885
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARILYN M. LACROSSE
Former Name: MARILYN M CUENCA
Credentials
M.D.
Primary location
360 STATION DR
CRYSTAL LAKE, IL 60014
Phone: (815) 338-6600 Fax: (847) 802-7112
3 Other location(s):
10350 Haligus Rd
Huntley, IL 60142-9545
Phone: (815) 338-6600
Fax: (847) 802-7112
2507 N Richmond Rd
McHenry, IL 60051-5407
Phone: (815) 338-6600
Fax: (815) 385-3255
1925 Huntley Rd
West Dundee, IL 60118-9301
Phone: (815) 338-6600
Fax: (847) 426-5162
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARILYN LACROSSE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERMEDICARE RAILROADWI930123614
OTHERMEDICARE RAILROADWI930116115
OTHERMEDICARE RAILROADWIP00226727
OTHERSTATE LICENSEIL036119800
MEDICAIDWI34182500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IL 036119800
2080A0000X
- Pediatrics / Adolescent Medicine
IL 036-119800
207P00000X
- Emergency Medicine
WI 44165-020

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.