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

Mark Louis Westphal, MD

Individual provider Dermatology Physician · NPI 1043388242

Mark Louis Westphal, MD is a Dermatology in Carbondale, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
53
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL
In the registry since
2006
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

665 E Lake Rd
Carbondale, IL 62901-5347
Phone: (618) 549-0841
Fax: (618) 529-2442
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036055065 (IL)

Record details

NPI number1043388242
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024
Mailing addressPo Box 399, Carbondale, IL 62903-0399

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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