Ettner, Frederic Mark

Ettner, Frederic Mark is an sole proprietor health care provider with primary practice located at 7126 N Lincoln Ave , Lincolnwood IL 60712-2234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ettner, Frederic Mark can be contacted via phone (847) 733-2229.

Contact Information

Primary practice address
7126 N Lincoln Ave Lincolnwood IL 60712-2234
Phone: (847) 733-2229
Fax: (847) 733-1528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0136053752 Illinois

Profile Details

NPI number 1891859468
LBN Legal business name Ettner, Frederic Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Nov 15th, 2016 - about 8 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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