Mahoney, Lynette

Mahoney, Lynette is an individual health care provider with primary practice located at 404 Mchenry Rd , Buffalo Grove IL 60089-6740. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Mahoney, Lynette can be contacted via phone (847) 285-4200.

Contact Information

Primary practice address
404 Mchenry Rd Buffalo Grove IL 60089-6740
Phone: (847) 285-4200
Fax: (847) 885-0130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004956 Illinois

Profile Details

NPI number 1376525592
LBN Legal business name Mahoney, Lynette
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 6th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376525592 NPPES
Illinois MEDICAID 016-004956
Illinois Other P00442755

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