Mckeigue, Mark E
Mckeigue, Mark E is an individual health care provider with primary practice located at 10755 W 163Rd Place , Orland Park IL 60467-8861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckeigue, Mark E can be contacted via phone (708) 873-1187.Contact Information
Primary practice address
10755 W 163Rd Place
Orland Park IL 60467-8861
Phone: (708) 873-1187
Fax: (708) 873-1204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036056879 | Illinois |
Profile Details
| NPI number | 1962480657 |
|---|---|
| LBN Legal business name | Mckeigue, Mark E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 4th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962480657 | NPPES |
| Illinois | MEDICAID | 036056879 |
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