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Dr. Mark T Klucka, DO
Family Medicine Physician in Alton, Illinois
NPI 1801902432

Mark T Klucka is a Family Medicine Physician based in Saint Louis, IL. Mark T Klucka practices in Alton, IL and has the professional credentials of DO. The NPI Number for Mark T Klucka is 1801902432 and holds a License No. 036.077227 (Illinois).

The current practice location address for Mark T Klucka is 4 Memorial Dr Ste 230, Alton, IL and can be reached out via phone at 618-463-7874.

Location: 4 Memorial Dr Ste 230, Alton, IL, 63195-1281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801902432
Provider Name
Mark T Klucka
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4 Memorial Dr Ste 230, Alton, IL, 63195-1281
Phone Number
618-463-7874
Fax Number
Provider Enumeration Date
08/23/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036077227 05 IL
100013015 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4 Memorial Dr Ste 230
City
Alton
State
Illinois
Zip
62002-6704
Phone Number
618-463-7874
Fax Number
person
Provider Business Mailing Address Details
Address
4 Memorial Dr Ste 230
City
Alton
State
Illinois
Zip
62002-6704
Phone Number
618-463-7874
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036077227 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
036.077227 (Illinois)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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