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NPI Code Detail

MEDICARE: MRS. MARCIA LYNN CHIMINO APRN

MEDICARE:  MRS. MARCIA LYNN CHIMINO  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71012602AIN

General Provider Information

NPI Number : 1790423150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARCIA LYNN CHIMINO APRN
Provider Business Mailing Address
First Line : 521 E 86TH AVE STE Z
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6236
Country : US
Telephone Number : 847-920-0902
Fax Number : 708-729-3493
Provider Business Practice Location Address
First Line : 521 E 86TH AVE STE Z
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6236
Country : US
Telephone Number : 847-920-0902
Fax Number : 708-729-3493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2022
Last Update Date : 02/23/2026

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