Individual provider · Type 1 NPI

Mark Loren Keldahl, MD

Vascular Surgery Physician · Chicago, IL

NPI number 1114181658 Active

Practice location

3000 N. Halsted St., Suite 703
Chicago, IL 60657

Call (773) 296-3390 Map

Fax (773) 296-7531

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 · (901) 272-6018

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X59517 (TN)
Surgery Physician 208600000X036-117220 (IL)
Surgery Physician 208600000X036117220 (IL)
Vascular Surgery Physician Primary 2086S0129X036-117220 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1114181658

Mark Loren Keldahl, MD's National Provider Identifier is 1114181658, issued on Jul 14, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Chicago, IL. The record was last updated on Jun 25, 2026.