Mark Tomera Mc

LBN: Mark Tomera Mc
Mark Tomera Mc is an health care organization with primary practice located at 7579 Lake St , River Forest IL 60305-1846. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mark Tomera Mc can be contacted via phone (708) 366-7177, or through Brundgae, Elizabeth via phone (708) 366-7177.

Contact Information

Primary practice address
7579 Lake St River Forest IL 60305-1846
Phone: (708) 366-7177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brundgae, Elizabeth
Phone: (708) 366-7177

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036065652 Illinois

Profile Details

NPI number 1386805570
LBN Legal business name Mark Tomera Mc
DBA Doing business as
Authorized official Brundgae, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2008
Last updated Jun 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386805570 NPPES
Illinois MEDICAID 036065652

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