Mccubbin, Mark

Mccubbin, Mark is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mccubbin, Mark can be contacted via phone (708) 216-8208.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-8208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01075950A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125-057074 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MED-PHYS-LIC-50732 Montana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 50743 Kentucky

Profile Details

NPI number 1831322932
LBN Legal business name Mccubbin, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2009
Last updated Jun 27th, 2024 - about last year

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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