Mark L. Lundine Valid NPI
Individual provider · Otolaryngology Physician · Rockford, IL
- NPI
- 1437251931
- Type
- Individual (Type 1)
- Primary specialty
- Otolaryngology Physician (Otolaryngology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Y00000X
- License number
- 036-059144 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-09-04
- Last updated
- 2017-10-19
Practice location
1253 N Alpine Rd
Rockford, IL 61107-2201
(779) 696-9201