Multack, Samuel J
Multack, Samuel J is an sole proprietor health care provider with primary practice located at 4001 Vollmer Rd , Olympia Fields IL 60461-3168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Multack, Samuel J can be contacted via phone (708) 747-4000.Contact Information
Primary practice address
4001 Vollmer Rd
Olympia Fields IL 60461-3168
Phone: (708) 747-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036-124776 | Illinois |
Profile Details
| NPI number | 1619135233 |
|---|---|
| LBN Legal business name | Multack, Samuel J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2008 |
| Last updated | Jun 29th, 2012 - about 14 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 | 1619135233 | NPPES |
| Illinois | MEDICAID | 036124776 |
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