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Mark E Mullendore, MD
Internal Medicine Physician in Springfield, Illinois
NPI 1275543910

Mark E Mullendore is a Internal Medicine Physician based in Chatham, IL. Mark E Mullendore practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Mark E Mullendore is 1275543910 and holds a License No. 036057331 (Illinois).

The current practice location address for Mark E Mullendore is 2901 Old Jacksonville Rd, Springfield, IL and can be reached out via phone at 217-698-9722 and via fax at 217-391-0392.

Location: 2901 Old Jacksonville Rd, Springfield, IL, 62629-0500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275543910
Provider Name
Mark E Mullendore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2901 Old Jacksonville Rd, Springfield, IL, 62629-0500
Phone Number
217-698-9722
Fax Number
217-391-0392
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054501 01 IL HEALTH ALLIANCE
08421024 01 IL BC/BS
110140987 01 IL RR MEDICARE PIN
133586700 01 IL ACS-OWCP
101525 01 IL HEALTHLINK
CD7143 01 IL RR MEDICARE GROUP
6394P 01 IL CATERPILLAR
020057300 01 IL BLACK LUNG
036057331 01 IL IL STATE LICENSE
036057331 05 IL
14D0949277 01 IL CLIA
170777 01 IL PERSONAL CARE
institution
Provider Business Practice Location Address Details
Address
2901 Old Jacksonville Rd
City
Springfield
State
Illinois
Zip
62704-7437
Phone Number
217-698-9722
Fax Number
217-391-0392
person
Provider Business Mailing Address Details
Address
2901 Old Jacksonville Rd
City
Springfield
State
Illinois
Zip
62704-7437
Phone Number
217-698-9722
Fax Number
217-391-0392
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
036057331 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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