Mullen, George Martin
Mullen, George Martin is an individual health care provider with primary practice located at 800 Biesterfield Rd # Suiteg01 Wimmer Building, Elk Grove Village IL 60007-3361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mullen, George Martin can be contacted via phone (847) 981-3680.Contact Information
Primary practice address
800 Biesterfield Rd # Suiteg01 Wimmer Building
Elk Grove Village IL 60007-3361
Phone: (847) 981-3680
Fax: (847) 956-5122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036057900 | Illinois |
Profile Details
| NPI number | 1497701858 |
|---|---|
| LBN Legal business name | Mullen, George Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jan 29th, 2013 - about 11 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 | 1497701858 | NPPES |
| Illinois | Other | IL6304010 | MEDICARE PTAN LOC 16 |
| Illinois | Other | IL6305010 | MEDICARE PTAN LOC 16 |
| Illinois | Other | P01013365 | MEDICARE PTAN LOC 16 |
| Illinois | Other | 1720371669 | MEDICARE PTAN LOC 16 |
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