Marcus Mercer
LBN: Marcus Mercer
Marcus Mercer is an health care organization with primary practice located at 5526 E Lake Dr A, Lisle IL 60532-2691. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Marcus Mercer can be contacted via phone (630) 373-6309, or through Mercer, Marcus via phone (630) 373-6309.
Contact Information
Primary practice address
5526 E Lake Dr A
Lisle IL 60532-2691
Phone: (630) 373-6309
Fax:
Website:
Authorized official contact:
Name: Mercer, Marcus Doctor of Dental Surgery (DDS)
Phone: (630) 373-6309
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019018685 | Illinois |
Profile Details
| NPI number | 1487104188 |
|---|---|
| LBN Legal business name | Marcus Mercer |
| DBA Doing business as | |
| Authorized official | Mercer, Marcus Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2016 |
| Last updated | Oct 6th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487104188 | NPPES |
| Illinois | Other | 019018685 | STATE OF ILLINOIS |
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