Isoniemi, Mark K
Isoniemi, Mark K is an individual health care provider with primary practice located at 150 E Willow Ave , Wheaton IL 60187-5476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Isoniemi, Mark K can be contacted via phone (630) 510-6900.Contact Information
Primary practice address
150 E Willow Ave
Wheaton IL 60187-5476
Phone: (630) 510-6900
Fax: (630) 871-6706
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036101563 | Illinois |
Profile Details
NPI number | 1295779239 |
---|---|
LBN Legal business name | Isoniemi, Mark K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2006 |
Last updated | Aug 8th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295779239 | NPPES |
Illinois | Other | P00612657 | RR MEDICARE |
Illinois | MEDICAID | 036101563 | RR MEDICARE |
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