MARK L. LUNDINE


Address: 1253 N Alpine Rd, Rockford, IL 61107-2201
Phone: 7796969201

MARK L. LUNDINE (NPI# 1437251931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437251931
Entity Type Individual
Full Name MARK L. LUNDINE
Practice Address 1253 N Alpine Rd
Rockford
IL 61107-2201
Mailing Address Po Box 1567
Rockford
IL 61110-0067
Practice Telephone 7796969201
Mailing Telephone 7796967150
Enumeration Date 2006-09-04
Last Update Date 2017-10-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 036-059144 IL Allopathic & Osteopathic Physicians
N 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
036059144 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 1253 N ALPINE RD
City ROCKFORD
State IL
Zip Code 61107-2201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942227905 Carolyn M Awender Audiologist 1253 N Alpine Rd, Rockford, IL 61107-2201 2006-07-16
1821433137 Aleida Rodriguez Internal Medicine 1253 N Alpine Rd, Rockford, IL 61107-2201 2013-05-01
1366756793 Jennifer C Lane Otolaryngology 1253 N Alpine Rd, Rockford, IL 61107 2010-07-27
1730404419 Kelly M Logli Nurse Practitioner 1253 N Alpine Rd, Rockford, IL 61107 2010-04-06
1104065598 Jessica E Muccianti Physician Assistant 1253 N Alpine Rd, Rockford, IL 61107 2009-02-10
1861655375 Sravanthi Nagavalli Internal Medicine 1253 N Alpine Rd, Rockford, IL 61107 2008-07-03
1528231354 Heath A. Hoffman Podiatrist 1253 N Alpine Rd, Rockford, IL 61107 2008-04-13
1194903849 Ann L. Broughton Audiologist 1253 N Alpine Rd, Rockford, IL 61107-2201 2008-02-05
1144382268 Swedishamerican Hospital Otolaryngology 1253 N Alpine Rd, Rockford, IL 61107 2006-12-14
1982782728 Rachael E Dolezal Audiologist 1253 N Alpine Rd, Rockford, IL 61107-2201 2006-11-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366756793 Jennifer C Lane Otolaryngology 1253 N Alpine Rd, Rockford, IL 61107 2010-07-27
1861687584 Nipun Chhabra Otolaryngology 698 Featherstone Rd, Rockford, IL 61107-6303 2007-09-06
1699968263 Saint Anthony Medical Center Otolaryngology 698 Featherstone Rd, Rockford, IL 61107-6303 2007-08-27
1124141825 Terrence R Loughlin Otolaryngology 698 Featherstone Rd, Rockford, IL 61107-6303 2007-04-09
1265548945 Ronald V. Washak Otolaryngology 2300 N Rockton Ave, Plastic Surgery Dept, Rockford, IL 61103-3619 2006-08-22
1871504415 Andrew G Gaiziunas Otolaryngology 1415 E State St, Suite A6, Rockford, IL 61104-2333 2006-08-10
1457378283 Margaret Provenza Otolaryngology 1253 N Alpine Rd, Rockford, IL 61107 2006-07-17
1245290758 Adam Soliman Otolaryngology 3401 N Perryville Rd, Rockford, IL 61114-8011 2006-03-27
1841270717 Andrew I. Jun Otolaryngology 1235 N Mulford Rd, Ste 205, Rockford, IL 61107-3879 2006-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841838109 Ryan C. Vaughn, Md Pllc Otolaryngology 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 2019-12-18
1265074934 Toriumi Facial Plastics Pllc Otolaryngology 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 2019-10-14
1184281735 Advanced Ear Nose & Throat Specialists, Pllc Otolaryngology 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 2019-05-20
1780144402 Veronica Maria Drozdowski Otolaryngology 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 2019-03-20
1205395019 Brian Yuhan Otolaryngology 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 2019-03-19
1285100529 Lauren E Lesniewski Otolaryngology 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 2018-10-14
1982100525 Muyinat Yewande Osoba Otolaryngology 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 2018-04-03
1851811343 Peter S Dumich Otolaryngology 2609 S Nottingham Ct, Champaign, IL 61821-6182 2017-06-26
1104354414 Sara M. Wing Otolaryngology 301 N 8th St Ste 5b, Springfield, IL 62701-1041 2017-05-31
1750734778 Darius Bliznikas Md Sc Otolaryngology 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 2016-07-14
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Competitor

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City ROCKFORD
Zip Code 61107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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