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
Fax: (630) 871-6706
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295779239 NPPES
Illinois Other P00612657 RR MEDICARE
Illinois MEDICAID 036101563 RR MEDICARE

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