Nitekman, Mark R

Nitekman, Mark R is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Nitekman, Mark R can be contacted via phone (708) 684-5520.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-5520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036048519 Illinois

Profile Details

NPI number 1518941368
LBN Legal business name Nitekman, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated May 21st, 2008 - about 16 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 1518941368 NPPES
Illinois MEDICAID 036048519

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