MARK L. LUNDINE M.D. P.C.
NPI 1316138522
Otolaryngology - Facial Plastic Surgery in Rockford, IL

Active since August 05, 2007
6979 REDANSA DR, ROCKFORD, IL 61108(815) 226-1800 Get Directions Write a Review

NPPES record last updated: October 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark L. Lundine M.d. P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK L. LUNDINE M.D. P.C. (NPI 1316138522) is a healthcare organization registered as a facial plastic surgery in Rockford, Illinois and active in the NPI registry since August 2007. The organization lists Mark L Lundine, President, as its authorized official.

NPPES Registry Identity

NPI1316138522
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameMARK L. LUNDINE M.D. P.C.
Location Address6979 REDANSA DRRockford, IL 61108-1201
Mailing Address6979 Redansa DrRockford, IL 61108-1201
Organization SubpartNo
Authorized OfficialMark L LundinePresident · (815) 226-1800
Enumeration DateAugust 5, 2007
Last NPPES UpdateOctober 28, 2007
NPI 1316138522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in IL · 336023733
Definition
An otolaryngologist who specializes in facial plastic surgery.
6979 REDANSA DR, Rockford, IL 61108

Other Identifiers 1

Medicare PIN689720

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark L. Lundine M.D. P.C.'s NPI number?

The NPI number for Mark L. Lundine M.D. P.C. is 1316138522. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Mark L. Lundine M.D. P.C. located?

Mark L. Lundine M.D. P.C. is located at 6979 Redansa Dr, Rockford, IL 61108. The listed phone number is (815) 226-1800.

What is Mark L. Lundine M.D. P.C.'s specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Mark L. Lundine M.D. P.C. was last updated on October 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.