Individual
DR. MARK BERNARD LUBIENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
372 RED BUD CT, FRANKFORT, IL 60423-2128
(708) 710-6048
(815) 464-1984
Mailing address
372 RED BUD CT, FRANKFORT, IL 60423-2128
(708) 710-6048
(815) 464-1984
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036071444
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036071444
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071444
—
IL
Enumeration date
07/22/2005
Last updated
03/21/2013
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