Wildeboer, Mark

Wildeboer, Mark is an individual health care provider with primary practice located at 1401 S. California Blvd , Chicago IL 60608. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Wildeboer, Mark can be contacted via phone (773) 522-2010.

Contact Information

Primary practice address
1401 S. California Blvd Chicago IL 60608
Phone: (773) 522-2010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 070015786 Illinois

Profile Details

NPI number 1225387343
LBN Legal business name Wildeboer, Mark
Credentials PT, DPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Sep 5th, 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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