Lebenson, Ira Mark
Lebenson, Ira Mark is an sole proprietor health care provider with primary practice located at 307 W Indiana Ave , Urbana IL 61801-4939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lebenson, Ira Mark can be contacted via phone (217) 367-1985.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036046483 | Illinois |
Profile Details
| NPI number | 1588992077 |
|---|---|
| LBN Legal business name | Lebenson, Ira Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2009 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588992077 | NPPES |
| Illinois | Other | 036046483 | STATE LICENSE |
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