IndividualActive
Marie Archil, RN
NPI 1053087353 · Gerontology Registered Nurse · Lake Forest, IL
Provider details
- NPI number
- 1053087353
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 041328534 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
1101 Pembridge Dr
Lake Forest, IL 60045-4222
Phone: (847) 604-6639
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Pembridge Dr
Lake Forest, IL 60045-4222
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2021-08-18
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.