Mark L. Lundine
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
1253 N Alpine Rd
Rockford
, Illinois 61107-2201
Mark L. Lundine
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
1253 N Alpine Rd
Rockford
, Illinois 61107-2201
(779) 696-7150
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Mark L. Lundine
- Po Box 1567
- Rockford, IL
- Zip : 61110-0067
- Phone : (779) 696-7150
Second Address
- Mark L. Lundine
- 1253 N Alpine Rd
- Rockford, IL
- Zip : 61107-2201
- Phone : (779) 696-9201
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 036-059144 | IL |
| N | 207YS0123X | Facial Plastic Surgeon | 036059144 | IL |
National Provider Identifier
| NPI | 1437251931 |
|---|---|
| Provider Name | Mark L. Lundine |
| First Address | Rockford, IL 61110-0067 |
| Second Address | Rockford, IL 61107-2201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2006 |
| Last Update Date | 19/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.