person
O. Kent Mercado, DPM
Foot & Ankle Surgery Podiatrist in Carol Stream, Illinois
NPI 1750491106

O. Kent Mercado is a Foot & Ankle Surgery Podiatrist based in Carol Stream, IL and is specialized in Foot & Ankle Surgery. O. Kent Mercado practices in Carol Stream, IL and has the professional credentials of DPM. The NPI Number for O. Kent Mercado is 1750491106 and holds a License No. 016004238 (Illinois).

The current practice location address for O. Kent Mercado is 501 Thornhill Dr, Carol Stream, IL and can be reached out via phone at 630-690-3338 and via fax at 630-690-3488.

Location: 501 Thornhill Dr, Carol Stream, IL, 60188-2793
person
Provider Profile Details
NPI Number
1750491106
Provider Name
O. Kent Mercado
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
501 Thornhill Dr, Carol Stream, IL, 60188-2793
Phone Number
630-690-3338
Fax Number
630-690-3488
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016004238 05 IL
60001691 01 IL BC/BS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
501 Thornhill Dr
City
State
Zip
60188-2793
Phone Number
630-690-3338
Fax Number
630-690-3488
person
Provider Business Mailing Address Details
Address
501 Thornhill Dr
City
State
Zip
60188-2793
Phone Number
630-690-3338
Fax Number
630-690-3488
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016004238 (Illinois)
Definition
Definition to come...
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