Dworkin, Mark S

Dworkin, Mark S is an individual health care provider with primary practice located at 901 Mcclintock Dr Suite 202, Burr Ridge IL 60527-0844. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Dworkin, Mark S can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
901 Mcclintock Dr Suite 202 Burr Ridge IL 60527-0844
Phone: (888) 220-6432
Fax: (630) 654-4253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-102140 Illinois
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-102140 Illinois

Profile Details

NPI number 1619963006
LBN Legal business name Dworkin, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Apr 23rd, 2021 - about 3 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 1619963006 NPPES
Illinois MEDICAID 036-102-140

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