Lingen, Mark W
Lingen, Mark W is an individual health care provider with primary practice located at 150 Harvester Dr Ste 300 , Burr Ridge IL 60527-5965. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Lingen, Mark W can be contacted via phone (773) 834-4064.Contact Information
Primary practice address
150 Harvester Dr Ste 300
Burr Ridge IL 60527-5965
Phone: (773) 834-4064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 019022138 | Illinois |
Profile Details
| NPI number | 1568514248 |
|---|---|
| LBN Legal business name | Lingen, Mark W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Feb 26th, 2019 - about 6 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 | 1568514248 | NPPES |
| Illinois | MEDICAID | 019022138 |
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