Shukhman, Mark
Shukhman, Mark is an sole proprietor health care provider with primary practice located at 4711 Golf Rd Suite 1200, Skokie IL 60076-1224. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Shukhman, Mark can be contacted via phone (847) 563-4488.Contact Information
Primary practice address
4711 Golf Rd Suite 1200
Skokie IL 60076-1224
Phone: (847) 563-4488
Fax: (847) 929-9355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036-103040 | Illinois |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 036-103040 | Illinois |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 036-103040 | Illinois |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 36-103040 | Illinois |
Profile Details
| NPI number | 1225087752 |
|---|---|
| LBN Legal business name | Shukhman, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2006 |
| Last updated | Feb 10th, 2017 - about 8 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 | 1225087752 | NPPES |
| Illinois | MEDICAID | 036-103040 |
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