Individual provider · Type 1 NPI

Mark D. Gendleman, MD

Specialist · Evanston, IL

NPI number 1457339863 Active

Practice location

2500 Ridge Ave, Suite 103
Evanston, IL 60201-2455

Call (847) 475-4556 Map

Fax (847) 475-4565

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036045834 (IL)

Specialist: 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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About NPI 1457339863

Mark D. Gendleman, MD's National Provider Identifier is 1457339863, issued on Jan 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, IL. The record was last updated on Mar 11, 2015.