MARILYN M C LACROSSE M.D.
NPI 1255376885
Family Medicine in Crystal Lake, IL

Active since June 18, 2006
360 STATION DR, CRYSTAL LAKE, IL 60014(815) 338-6600(847) 802-7112 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marilyn M C Lacrosse M.d. NPPES

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

MARILYN M C LACROSSE M.D. (NPI 1255376885) is an individual family medicine provider in Crystal Lake, Illinois, licensed in Illinois (036119800) and active in the NPI registry since June 2006. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1255376885
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARILYN M C LACROSSECredential: M.D.
Location Address360 STATION DRCrystal Lake, IL 60014
Mailing Address360 Station DrCrystal Lake, IL 60014-7978 · (815) 338-6600 · Fax (815) 455-8044
Fax(847) 802-7112
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateJune 7, 2018
NPI 1255376885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036119800
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036119800 (IL), 44165-020 (WI)
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 036-119800 (IL)
360 STATION DR, Crystal Lake, IL 60014

Other Names 1

Former Name (1)Marilyn M Cuenca M.d.

Secondary Practice Locations 3

Location 12507 N Richmond RdMcHenry, IL 60051-5407 · Phone (815) 338-6600 · Fax (815) 385-3255
Location 21925 Huntley RdWest Dundee, IL 60118-9301 · Phone (815) 338-6600 · Fax (847) 426-5162
Location 310350 Haligus RdHuntley, IL 60142-9545 · Phone (815) 338-6600 · Fax (847) 802-7112

Other Identifiers 5

Other036119800IL · State License
Medicaid34182500WI
OtherP00226727WI · Medicare Railroad
Other930116115WI · Medicare Railroad
Other930123614WI · Medicare Railroad

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
360 STATION DR
CRYSTAL LAKE, IL 60014
Nurse Practitioner (Adult Health)
360 STATION DR, SUITE 120
CRYSTAL LAKE, IL 60014
Registered Nurse (Diabetes Educator)
360 STATION DR
CRYSTAL LAKE, IL 60014
Physician Assistant
360 STATION DR
CRYSTAL LAKE, IL 60014
Registered Nurse (Diabetes Educator)
360 STATION DR
CRYSTAL LAKE, IL 60014
Family Medicine
360 STATION DR
CRYSTAL LAKE, IL 60014
Family Medicine
360 STATION DR
CRYSTAL LAKE, IL 60014
Pediatrics (Pediatric Cardiology)
360 STATION DR
CRYSTAL LAKE, IL 60014

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 Marilyn Lacrosse's NPI number?

The NPI number for Marilyn Lacrosse is 1255376885. It was assigned to this individual provider in the NPPES registry on June 18, 2006. The provider is also known as Marilyn M Cuenca M.D..

Where is Marilyn Lacrosse located?

Marilyn Lacrosse practices at 360 Station Dr, Crystal Lake, IL 60014. The listed phone number is (815) 338-6600.

What is Marilyn Lacrosse's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Marilyn Lacrosse was last updated on June 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.