Bednard, Mark Richard
Bednard, Mark Richard is an individual health care provider with primary practice located at 501 Thornhill Dr , Carol Stream IL 60188-2793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bednard, Mark Richard can be contacted via phone (630) 668-3210.Contact Information
Primary practice address
501 Thornhill Dr
Carol Stream IL 60188-2793
Phone: (630) 668-3210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036093807 | Illinois |
Profile Details
| NPI number | 1346212503 |
|---|---|
| LBN Legal business name | Bednard, Mark Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Apr 1st, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346212503 | NPPES |
| Illinois | Other | 920540 | MEDICARE PTAN (GROUP) |
| Illinois | MEDICAID | 036093807 | MEDICARE PTAN (GROUP) |
| Illinois | Other | F400172697 | MEDICARE PTAN (GROUP) |
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