Mark D Gendleman MD Sc

NPI #1730481375 in Evanston, Illinois

Provider Information

NPI Number
1730481375
Entity Type
Organization
Organization Name
Mark D Gendleman MD Sc
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Dec 2, 2010
Last Updated
Dec 2, 2010

Practice Location

Address
2500 RIDGE AVE STE 103
ZIP Code
60201-2468
Phone
(847) 475-4556

Authorized Official

Name
DR. MARK GENDLEMAN, M.D.
Title
PRESIDENT
Phone
(847) 475-4556

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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