Fenlon, Mark Andrew
Fenlon, Mark Andrew is an sole proprietor health care provider with primary practice located at 12620 S Harlem Ave , Palos Heights IL 60463-1428. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Fenlon, Mark Andrew can be contacted via phone (708) 361-3338.Contact Information
Primary practice address
12620 S Harlem Ave
Palos Heights IL 60463-1428
Phone: (708) 361-3338
Fax: (708) 361-3748
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 16-004799 | Illinois |
Profile Details
NPI number | 1043341068 |
---|---|
LBN Legal business name | Fenlon, Mark Andrew |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 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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