Danielson, Mark V

Danielson, Mark V is an individual health care provider with primary practice located at 2 Uno Cir , Joliet IL 60435-6653. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Danielson, Mark V can be contacted via phone (815) 725-2277.

Contact Information

Primary practice address
2 Uno Cir Joliet IL 60435-6653
Phone: (815) 725-2277
Fax: (815) 725-7870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036072694 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036072694 Illinois

Profile Details

NPI number 1225001068
LBN Legal business name Danielson, Mark V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Dec 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225001068 NPPES
Illinois Other 020047471 RRMC
Illinois MEDICAID 036072694 RRMC

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