IndividualActive
Andrew Mariano, DO
NPI 1255991303 · Cardiovascular Disease Physician · Kankakee, IL
Provider details
- NPI number
- 1255991303
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 036160921 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 N Wall St
Kankakee, IL 60901-2942
Phone: (844) 404-4787
Fax: (815) 936-3243
Approximate (ZIP-level) locationGet directions
Mailing address
500 N Wall St
Kankakee, IL 60901-2942
Additional practice locations (1)
- 350 N Wall StKankakee, IL 60901-2901Phone: (815) 928-6274
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.