Mark Tomera Mc

NPI #1386805570 in River Forest, Illinois

Provider Information

NPI Number: 1386805570
Entity Type: Organization
Organization Name: Mark Tomera Mc
Primary Specialty: Surgery
Enumeration Date: Jun 19, 2008
Last Updated: Jun 19, 2008

Practice Location

Address: 7579 LAKE ST
City: River Forest
State: Illinois
ZIP Code: 60305-1846
Phone: (708) 366-7177

Authorized Official

Name: ELIZABETH BRUNDGAE
Title: DIRECTOR OF OPERATIONS
Phone: (708) 366-7177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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