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Contact Information

MARK D MINIER, MD
2001 S CALIFORNIA AVE STE 100
CHICAGO, IL60608
 Phone: 773-584-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK D MINIER · (Male)

NPI # 1629156559
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 09/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036137053
  • IL Medicaid 036137053
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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