MARINE SUTRISNO OTR/L
NPI 1073902417
Clinic/Center - Rehabilitation in Schaumburg, IL

Q: What is Marine Sutrisno's NPI number?

The NPI number for Marine Sutrisno is 1073902417. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Q: What is Marine Sutrisno's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Q: When was this NPI record last updated?

The NPPES record for Marine Sutrisno was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2015

721 CROWN CT, SCHAUMBURG, IL 60193(312) 238-2460 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Marine Sutrisno Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINE SUTRISNO OTR/L (NPI 1073902417) is an individual rehabilitation provider in Schaumburg, Illinois, licensed in Illinois (056009695) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1073902417

Entity TypeIndividualFemale

Primary Taxonomy261QR0400X

Provider Legal NameMARINE SUTRISNOCredential: OTR/L

Location Address721 CROWN CTSchaumburg, IL 60193-3182

Mailing Address721 Crown CtSchaumburg, IL 60193-3182

Phone(312) 238-2460

Sole ProprietorYes

Enumeration DateJanuary 22, 2015

✔ NPI 1073902417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities

Taxonomy Code261QR0400X

License✔ Licensed in IL · 056009695

721 CROWN CT, Schaumburg, IL 60193

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marine Sutrisno's NPI number?

The NPI number for Marine Sutrisno is 1073902417. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Marine Sutrisno located?

Marine Sutrisno practices at 721 Crown Ct, Schaumburg, IL 60193. The listed phone number is (312) 238-2460.

What is Marine Sutrisno's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Marine Sutrisno was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.