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

Mark D McCubbin, MD

Individual provider Nephrology Physician · NPI 1831322932

Mark D McCubbin, MD is a Nephrology in Maywood, Illinois. Graduated from Wayne State University School of Medicine in 2009, 17 years ago. Practices with St Luke's Hospital of Duluth, a 413-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois, Indiana, Kentucky and Montana and 1 more.

Years since qualifying
17
Trained at
Wayne State University School of Medicine
Licensed in
IL, IN, KY, MT, WI
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-8208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2400 17th St, Columbus, IN 47201-5351 — (812) 376-5907
  • 37 Ball Park Rd, Harlan, KY 40831-1701 — (606) 573-4520
  • 3055 N Reserve St Ste D, Missoula, MT 59808-1395 — (406) 327-7000
  • 1000 N Oak Ave, Marshfield, WI 54449-5703 — (715) 387-5511

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 13000 (WI)
Nephrology Physician Taxonomy 207RN0300X · Licence 01075950A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125-057074 (IL)
Nephrology Physician Taxonomy 207RN0300X · Licence MED-PHYS-LIC-50732 (MT)
Nephrology Physician Taxonomy 207RN0300X · Licence 50743 (KY)

Record details

NPI number1831322932
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2009
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice St. Luke'S Hospital Of Duluth — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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