Forrestal, Mark D

Forrestal, Mark D is an individual health care provider with primary practice located at 1410 N Arlington Heights Rd Ste 300, Arlington Heights IL 60004-4827. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Forrestal, Mark D can be contacted via phone (847) 618-1740.

Contact Information

Primary practice address
1410 N Arlington Heights Rd Ste 300 Arlington Heights IL 60004-4827
Phone: (847) 618-1740
Fax: (847) 618-1749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-062967 Illinois
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 036-062967 Illinois

Profile Details

NPI number 1578552246
LBN Legal business name Forrestal, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 3rd, 2020 - about 5 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 1578552246 NPPES
Illinois Other 31601993 BCBS OF ILLINOIS

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