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Mark D Gendleman, MD
Specialist in Evanston, Illinois
NPI 1457339863

Mark D Gendleman is a Specialist based in Evanston, IL. Mark D Gendleman practices in Evanston, IL and has the professional credentials of MD. The NPI Number for Mark D Gendleman is 1457339863 and holds a License No. 036045834 (Illinois).

The current practice location address for Mark D Gendleman is 2500 Ridge Ave, Evanston, IL and can be reached out via phone at 847-475-4556 and via fax at 847-475-4565.

Location: 2500 Ridge Ave, Evanston, IL, 60201-2455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457339863
Provider Name
Mark D Gendleman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 Ridge Ave, Evanston, IL, 60201-2455
Phone Number
847-475-4556
Fax Number
847-475-4565
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036045834 05 IL
institution
Provider Business Practice Location Address Details
Address
2500 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-2455
Phone Number
847-475-4556
Fax Number
847-475-4565
person
Provider Business Mailing Address Details
Address
2500 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-2455
Phone Number
847-475-4556
Fax Number
847-475-4565
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036045834 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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