MS. MARILYN DAM RABOLT R.N., M.S.N.
NPI 1326232372
Registered Nurse - Psychiatric/Mental Health, Adult in Trout Valley, IL
Active since September 04, 2007
About Ms. Marilyn Dam Rabolt R.n., M.s.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARILYN DAM RABOLT R.N., M.S.N. (NPI 1326232372) is an individual psychiatric/mental health, adult provider in Trout Valley, Illinois and active in the NPI registry since September 2007.
NPPES Registry Identity
NPI1326232372
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameMS. MARILYN DAM RABOLTCredential: R.N., M.S.N.
Location Address112 MARRYAT RDTrout Valley, IL 60013-2644
Mailing Address112 Marryat RdTrout Valley, IL 60013-2644 · (847) 462-0600 · Fax (847) 462-0600
Phone(847) 462-0600
Fax(847) 462-0600
Sole ProprietorYes
Enumeration DateSeptember 4, 2007
✔ NPI 1326232372 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
112 MARRYAT RD, Trout Valley, IL 60013
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326232372, enumerated as an "individual" on September 04, 2007.
The provider is located at 112 MARRYAT RD TROUT VALLEY, IL 60013 and the phone number is (847) 462-0600.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.