Mocharnuk, Robert
Mocharnuk, Robert is an individual health care provider with primary practice located at 315 W Carpenter St # 2W106 , Springfield IL 62702-4901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mocharnuk, Robert can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
315 W Carpenter St # 2W106
Springfield IL 62702-4901
Phone: (217) 545-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | A50308 | California |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036-118904 | Illinois |
Profile Details
NPI number | 1568499770 |
---|---|
LBN Legal business name | Mocharnuk, Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2006 |
Last updated | Sep 17th, 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 | 1568499770 | NPPES |
Illinois | MEDICAID | 036118904 |
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