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
Phone: (630) 646-4255
Fax: (630) 646-4256
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992714885 | NPPES |
Illinois | MEDICAID | 036114086 2 | |
Illinois | Other | 2221474 |
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