Magnus, Mark Kenneth

Magnus, Mark Kenneth is an individual health care provider with primary practice located at 1455 E Golf Rd Ste 110 , Des Plaines IL 60016-1253. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Magnus, Mark Kenneth can be contacted via phone (847) 390-7666.

Contact Information

Primary practice address
1455 E Golf Rd Ste 110 Des Plaines IL 60016-1253
Phone: (847) 390-7666
Fax: (847) 390-9345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1138 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1138 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016005815 Illinois

Profile Details

NPI number 1710340724
LBN Legal business name Magnus, Mark Kenneth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated Apr 29th, 2019 - about 5 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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