Yarshen, Mark J.

Yarshen, Mark J. is an individual health care provider with primary practice located at 6701 Us Highway 34 , Oswego IL 60543-9129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yarshen, Mark J. can be contacted via phone (630) 646-4255.

Contact Information

Primary practice address
6701 Us Highway 34 Oswego IL 60543-9129
Fax: (630) 646-4256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036114086 Illinois

Profile Details

NPI number 1992714885
LBN Legal business name Yarshen, Mark J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Mar 9th, 2009 - about 15 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 1992714885 NPPES
Illinois MEDICAID 036114086 2
Illinois Other 2221474

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