Lyon, Mark

Lyon, Mark is an sole proprietor health care provider with primary practice located at 2850 W 95Th St Suite 302, Evergreen Park IL 60805-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lyon, Mark can be contacted via phone (708) 422-2242.

Contact Information

Primary practice address
2850 W 95Th St Suite 302 Evergreen Park IL 60805-2735
Phone: (708) 422-2242
Fax: (708) 422-2270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036116228 Illinois

Profile Details

NPI number 1831300748
LBN Legal business name Lyon, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Dec 26th, 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 1831300748 NPPES
Other 02232706 BCBS
Other P00467991 BCBS
Other 211475 BCBS
MEDICAID 036116228 BCBS
Other DG0826 BCBS

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