Amayun, Marvin

Amayun, Marvin is an individual health care provider with primary practice located at 1100 Nerge Rd Ste 209, Elk Grove Village IL 60007-3240. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Amayun, Marvin can be contacted via phone (847) 891-6600.

Contact Information

Primary practice address
1100 Nerge Rd Ste 209 Elk Grove Village IL 60007-3240
Phone: (847) 891-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.026102 Illinois

Profile Details

NPI number 1942212782
LBN Legal business name Amayun, Marvin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Feb 26th, 2012 - about 13 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 1942212782 NPPES
Illinois MEDICAID 019026102

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