Mackin, William J

Mackin, William J is an individual health care provider with primary practice located at 351 Delnor Dr Suite 100, Geneva IL 60134-4220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mackin, William J can be contacted via phone (630) 232-0280.

Contact Information

Primary practice address
351 Delnor Dr Suite 100 Geneva IL 60134-4220
Phone: (630) 232-0280
Fax: (630) 232-3895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036077645 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036077645 Illinois

Profile Details

NPI number 1215924949
LBN Legal business name Mackin, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 17th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215924949 NPPES
Illinois MEDICAID 036077645
Illinois Other 206147058
Illinois Other 206147

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