Mahalko, Erich D.

Mahalko, Erich D. is an individual health care provider with primary practice located at 420 N Il Route 31 , Crystal Lake IL 60012. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Mahalko, Erich D. can be contacted via phone (815) 356-5200.

Contact Information

Primary practice address
420 N Il Route 31 Crystal Lake IL 60012
Fax: (815) 356-5262
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238.000417 Illinois

Profile Details

NPI number 1407112501
LBN Legal business name Mahalko, Erich D.
Credentials CFA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2012
Last updated May 15th, 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 1407112501 NPPES
Illinois Other 238.000417 REGISTERED SURGICAL ASSISTANT LICENSE
Illinois Other 117716 REGISTERED SURGICAL ASSISTANT LICENSE

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