Lubienski, Mark Bernard

Lubienski, Mark Bernard is an sole proprietor health care provider with primary practice located at 372 Red Bud Ct , Frankfort IL 60423-2128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Lubienski, Mark Bernard can be contacted via phone (708) 710-6048.

Contact Information

Primary practice address
372 Red Bud Ct Frankfort IL 60423-2128
Phone: (708) 710-6048
Fax: (815) 464-1984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036071444 Illinois
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036071444 Illinois

Profile Details

NPI number 1376543025
LBN Legal business name Lubienski, Mark Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Mar 21st, 2013 - about 13 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 1376543025 NPPES
Illinois MEDICAID 036071444

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