Roome, Mark

Roome, Mark is an individual health care provider with primary practice located at 19550 Governors Hwy Ste 2500, Flossmoor IL 60422-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roome, Mark can be contacted via phone (708) 799-7600.

Contact Information

Primary practice address
19550 Governors Hwy Ste 2500 Flossmoor IL 60422-2125
Phone: (708) 799-7600
Fax: (708) 799-8848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036085356 Illinois

Profile Details

NPI number 1346368909
LBN Legal business name Roome, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 19 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 1346368909 NPPES
Illinois MEDICAID 036085356

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