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

Mark Wavrunek

Individual provider Podiatrist · NPI 1194107607

Mark Wavrunek is a Podiatry in Quincy, Illinois. Graduated from William M. Scholl College of Podiatric Medicine in 2015, 11 years ago. Practices with Blessing Hospital, a 413-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
11
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
IL, IN
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4800 Maine St
Quincy, IL 62305-5875
Phone: (217) 214-3823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 161 Washington Pointe Dr, Indianapolis, IN 46229-2693 — (317) 898-6624

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 016005840 (IL)
Podiatrist Taxonomy 213E00000X · Licence 41000333A (IN)

Record details

NPI number1194107607
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 19, 2015
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address4800 Maine St, Quincy, IL 62305-5875

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Blessing Hospital — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Quincy