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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1376525592 | NPPES |
Illinois | MEDICAID | 016-004956 | |
Illinois | Other | P00442755 |
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