Leischner, Mark Paul

Leischner, Mark Paul is an individual health care provider with primary practice located at 2608 W Addison St , Chicago IL 60618-5905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Leischner, Mark Paul can be contacted via phone (773) 756-3333.

Contact Information

Primary practice address
2608 W Addison St Chicago IL 60618-5905
Phone: (773) 756-3333
Fax: (773) 525-3416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036110702 Illinois

Profile Details

NPI number 1598708877
LBN Legal business name Leischner, Mark Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 26th, 2024 - about 2 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 1598708877 NPPES
Illinois MEDICAID 036110702

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