Peiken, Marvin S

Peiken, Marvin S is an individual health care provider with primary practice located at 5999 New Wilke Rd Suite 200 Bldg 2, Rolling Meadows IL 60008-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peiken, Marvin S can be contacted via phone (847) 255-7107.

Contact Information

Primary practice address
5999 New Wilke Rd Suite 200 Bldg 2 Rolling Meadows IL 60008-4506
Phone: (847) 255-7107
Fax: (847) 255-7031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036053584 Illinois

Profile Details

NPI number 1790780765
LBN Legal business name Peiken, Marvin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790780765 NPPES
Illinois MEDICAID 036053584

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