Mulshine, Pamela M

Mulshine, Pamela M is an individual health care provider with primary practice located at 907 Franklin Ave , River Forest IL 60305-1337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mulshine, Pamela M can be contacted via phone (708) 488-0434.

Contact Information

Primary practice address
907 Franklin Ave River Forest IL 60305-1337
Phone: (708) 488-0434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036115325 Illinois

Profile Details

NPI number 1760412746
LBN Legal business name Mulshine, Pamela M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 22nd, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760412746 NPPES
Illinois MEDICAID 036115325

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