Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark A. Staudacher, MD

Individual provider Anesthesiology Physician · NPI 1710988126

Mark A. Staudacher, MD is an Anesthesiology in Geneva, Illinois. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1995, 31 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
31
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 Randall Rd
Geneva, IL 60134-4200
Phone: (630) 208-4060
Fax: (630) 208-4401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 N Highland Ave, Aurora, IL 60506-1449 — (630) 859-2222

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036114068 (IL)

Record details

NPI number1710988126
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022
Mailing address300 Randall Rd, Geneva, IL 60134-4200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1995 (31 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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