Boarini, Mark Alan

Boarini, Mark Alan is an individual health care provider with primary practice located at 800 Main St , Antioch IL 60002-1542. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boarini, Mark Alan can be contacted via phone (847) 395-1461.

Contact Information

Primary practice address
800 Main St Antioch IL 60002-1542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1700936846
LBN Legal business name Boarini, Mark Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 17 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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