Minier, Mark D

Minier, Mark D is an individual health care provider with primary practice located at 2001 S California Ave Ste 100 , Chicago IL 60608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Minier, Mark D can be contacted via phone (773) 584-6200.

Contact Information

Primary practice address
2001 S California Ave Ste 100 Chicago IL 60608
Phone: (773) 584-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036137053 Illinois

Profile Details

NPI number 1629156559
LBN Legal business name Minier, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 29th, 2020 - about 5 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 1629156559 NPPES
Illinois MEDICAID 036137053

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