Mark A. Speyer MD

NPI 1649464488 - Internal Medicine - 207R00000X

NPI Details
NPI 1649464488
Gender Male
Enumeration Date 09/05/2007
Last Updated 10/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-9122
Fax
Business Location
2160 S 1ST AVE
MAYWOOD IL, 60153-3328, US
Phone (708) 216-9122
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036119500
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According to our database, Mark A. Speyer MD NPI is 1649464488, taxonomy code is 207R00000X and license number is 036119500, license state is located at Illinois. Mark A. Speyer MD physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Mark A. Speyer MD has the Individual type.

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1649464488 NPI number is provided on an as is basis without warranty of any kind. 1649464488 is maintained by the National Plan & Provider Enumeration System. The contents of Mark A. Speyer MD are for informational purposes only.