Coleman, Mark
Coleman, Mark is an individual health care provider with primary practice located at 1415 W 47Th St , La Grange IL 60525-6136. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Coleman, Mark can be contacted via phone (708) 579-9375.Contact Information
Primary practice address
1415 W 47Th St
La Grange IL 60525-6136
Phone: (708) 579-9375
Fax: (708) 579-9378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1295750743 |
|---|---|
| LBN Legal business name | Coleman, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jan 23rd, 2009 - about 16 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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