Stern, Mark A

Stern, Mark A is an individual health care provider with primary practice located at 767 Park Avenue West Suite 340, Highland Park IL 60035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Stern, Mark A can be contacted via phone (847) 444-5300.

Contact Information

Primary practice address
767 Park Avenue West Suite 340 Highland Park IL 60035
Phone: (847) 444-5300
Fax: (847) 267-0694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36044361 Illinois

Profile Details

NPI number 1770501306
LBN Legal business name Stern, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 10th, 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 1770501306 NPPES
Other CB4267 RAILROAD MEDICARE
Other 04915267 RAILROAD MEDICARE
MEDICAID 36044361 RAILROAD MEDICARE

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