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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619135233 NPPES
Illinois MEDICAID 036124776

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