Mack, Robert J S
Mack, Robert J S is an individual health care provider with primary practice located at 1220 W Higgins Rd Ste 102, Hoffman Estates IL 60169-4033. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mack, Robert J S can be contacted via phone (847) 755-9393.Contact Information
Primary practice address
1220 W Higgins Rd Ste 102
Hoffman Estates IL 60169-4033
Phone: (847) 755-9393
Fax: (847) 755-1560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 036-090403 | Illinois |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036090403 | Illinois |
Profile Details
NPI number | 1932107778 |
---|---|
LBN Legal business name | Mack, Robert J S |
Credentials | M.D. P C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2005 |
Last updated | Dec 28th, 2022 - 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 | 1932107778 | NPPES |
Illinois | Other | 6046380001 | NATIONAL GOVERNMENT SERVICES |
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