Shen, Mark Jung-Ching

Shen, Mark Jung-Ching is an individual health care provider with primary practice located at 1100 36Th Ave , Moline IL 61265-7127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Shen, Mark Jung-Ching can be contacted via phone (309) 743-6700.

Contact Information

Primary practice address
1100 36Th Ave Moline IL 61265-7127
Phone: (309) 743-6700
Fax: (309) 764-2042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036133915 Illinois
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036133915 Illinois

Profile Details

NPI number 1346539467
LBN Legal business name Shen, Mark Jung-Ching
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Feb 17th, 2023 - about last year

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 1346539467 NPPES
Illinois MEDICAID 036133915

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