Trelka, Mark J
Trelka, Mark J is an individual health care provider with primary practice located at 565 Lakeview Pkwy Ste 104, Vernon Hills IL 60061-1857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Trelka, Mark J can be contacted via phone (847) 549-0232.Contact Information
Primary practice address
565 Lakeview Pkwy Ste 104
Vernon Hills IL 60061-1857
Phone: (847) 549-0232
Fax: (847) 549-9329
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036082394 | Illinois |
Profile Details
NPI number | 1720005291 |
---|---|
LBN Legal business name | Trelka, Mark J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Jan 10th, 2012 - about 13 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 | 1720005291 | NPPES |
Illinois | Other | 03905078 | BLUE CROSS BLUE SHIELD |
Illinois | MEDICAID | 036082394 | BLUE CROSS BLUE SHIELD |
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