Kijek, Mark A
Kijek, Mark A is an sole proprietor health care provider with primary practice located at 1802 N Division St Suite 303, Morris IL 60450-1182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kijek, Mark A can be contacted via phone (815) 942-1203.Contact Information
Primary practice address
1802 N Division St Suite 303
Morris IL 60450-1182
Phone: (815) 942-1203
Fax: (815) 942-1472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036067399 | Illinois |
Profile Details
| NPI number | 1659336519 |
|---|---|
| LBN Legal business name | Kijek, Mark A |
| Credentials | MD SC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jun 27th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659336519 | NPPES |
| Illinois | MEDICAID | 0360673991 | |
| Illinois | Other | 3200046 |
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