Kungl, Mary Eileen

Kungl, Mary Eileen is an individual health care provider with primary practice located at 430 Pennsylvania Ave 310, Glen Ellyn IL 60137-4418. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kungl, Mary Eileen can be contacted via phone (630) 469-9200.

Contact Information

Primary practice address
430 Pennsylvania Ave 310 Glen Ellyn IL 60137-4418
Phone: (630) 469-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036100054 Illinois

Profile Details

NPI number 1437215076
LBN Legal business name Kungl, Mary Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 10th, 2023 - about 2 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 1437215076 NPPES
Illinois Other P00461422 RAILROAD MEDICARE
Illinois MEDICAID 036100054 RAILROAD MEDICARE

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