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Contact Information

MARK S MUSSELMAN, MD
1701 W. CURTIS ROAD
PEDIATRICS
CHAMPAIGN, IL61822
 Phone: 217-365-6202
 Fax: 217-326-1234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK S MUSSELMAN · (Male)

NPI Number 1336256825
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 05/07/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036104715
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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