Trelka, Mark J

Trelka, Mark J is an individual health care provider with primary practice located at 565 Lakeview Pkwy Ste 104, Vernon Hills IL 60061-1857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Trelka, Mark J can be contacted via phone (847) 549-0232.

Contact Information

Primary practice address
565 Lakeview Pkwy Ste 104 Vernon Hills IL 60061-1857
Phone: (847) 549-0232
Fax: (847) 549-9329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036082394 Illinois

Profile Details

NPI number 1720005291
LBN Legal business name Trelka, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 10th, 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 1720005291 NPPES
Illinois Other 03905078 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036082394 BLUE CROSS BLUE SHIELD

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