Individual provider · Type 1 NPI

Jack Mersino

Student in an Organized Health Care Education/Training Program · Northbrook, IL

NPI number 1245146802 Active

Practice location

1135 Skokie Blvd
Northbrook, IL 60062-4118

Call (847) 441-5600 Map

Mailing address

197 Latrobe Ave
Northfield, IL 60093-3514

Other practice locations

  • 204 N Genesee St, Waukegan, IL 60085-4262 · (847) 441-5600

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245146802

Jack Mersino's National Provider Identifier is 1245146802, issued on Aug 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northbrook, IL. The record was last updated on Aug 21, 2026.