Mutchnik, David L.

Mutchnik, David L. is an individual health care provider with primary practice located at 9669 Kenton Ave Suite 608, Skokie IL 60076-1266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mutchnik, David L. can be contacted via phone (847) 677-4111.

Contact Information

Primary practice address
9669 Kenton Ave Suite 608 Skokie IL 60076-1266
Phone: (847) 677-4111
Fax: (847) 677-3343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036038702 Illinois

Profile Details

NPI number 1417917006
LBN Legal business name Mutchnik, David L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 12th, 2019 - about 5 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 1417917006 NPPES
Illinois MEDICAID 036038702

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