Mark D Gendleman Md Sc

LBN: Mark D Gendleman Md Sc
Mark D Gendleman Md Sc is an health care organization with primary practice located at 2500 Ridge Ave Ste 103 , Evanston IL 60201-2468. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Mark D Gendleman Md Sc can be contacted via phone (847) 475-4556, or through Gendleman, Mark via phone (847) 475-4556.

Contact Information

Primary practice address
2500 Ridge Ave Ste 103 Evanston IL 60201-2468
Fax: (847) 475-4565
Website:
Authorized official contact:
Name: Gendleman, Mark Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 036045834 Illinois

Profile Details

NPI number 1730481375
LBN Legal business name Mark D Gendleman Md Sc
DBA Doing business as
Authorized official Gendleman, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2010
Last updated Dec 2nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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