Mercola, Scott M

Mercola, Scott M is an sole proprietor health care provider with primary practice located at 7420 Central Ave Suite 2040, River Forest IL 60305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mercola, Scott M can be contacted via phone (708) 776-7220.

Contact Information

Primary practice address
7420 Central Ave Suite 2040 River Forest IL 60305
Phone: (708) 776-7220
Fax: (708) 776-7226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036084477 Illinois

Profile Details

NPI number 1043284144
LBN Legal business name Mercola, Scott M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Mar 1st, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043284144 NPPES
Illinois MEDICAID 36084477

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