Organization
ILLINOIS INTERNAL MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAMES CHYNA M.D. (PRESIDENT)
(847) 367-3060
Entity
Organization
Contact information
Practice address
890 GARFIELD AVE, SUITE 209, LIBERTYVILLE, IL 60048-4723
(847) 367-3843
(847) 367-3063
Mailing address
890 GARFIELD AVE, # 209, LIBERTYVILLE, IL 60048-4723
(847) 367-3843
(847) 367-3063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-617825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740273507
MARK CHYNA MD INDIV. NPI
IL
Enumeration date
04/17/2007
Last updated
12/14/2008
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