Mark D Gendleman MD SC
Mark D Gendleman MD SC is an Exclusive Provider Organization in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
2500 Ridge Ave Ste 103Evanston, IL 60201-2468
Phone: (847) 475-4556
Fax: (847) 475-4565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 036045834 (IL) |
|---|
Record details
| NPI number | 1730481375 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Gendleman — President · (847) 475-4556 |
| NPI enumerated | December 2, 2010 |
| Last updated in NPPES | December 2, 2010 |
| Mailing address | 2500 Ridge Ave Ste 103, Evanston, IL 60201-2468 |
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