Mark Kenneth Magnus, DPM

NPI #1710340724 in Des Plaines, Illinois

Provider Information

NPI Number: 1710340724
Entity Type: Individual
Name: Mark Kenneth Magnus, DPM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Mar 29, 2016
Last Updated: Apr 29, 2019

Practice Location

Address: 1455 E GOLF RD STE 110
City: Des Plaines
State: Illinois
ZIP Code: 60016-1253
Phone: (847) 390-7666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Student in an Organized Health Care Education/Training Program	390200000X

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