Mark Adrian Faasse M.D.

NPI 1003025651 - Urology - 208800000X

NPI Details
NPI 1003025651
Gender Male
Enumeration Date 05/21/2007
Last Updated 09/18/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4440 W 95TH ST
OAK LAWN IL, 60453-2600, US
Phone (708) 684-4557
Fax
Business Location
4440 W 95TH ST
OAK LAWN IL, 60453-2600, US
Phone
Fax (312) 227-9412
Toxanomy
Taxonomy Code 208800000X
License State Illinois
License Number 036133740
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According to our database, Dr. Mark Adrian Faasse M.D. NPI is 1003025651, taxonomy code is 208800000X and license number is 036133740, license state is located at Illinois. Mark Adrian Faasse M.D. physically located at 4440 W 95th St, Oak Lawn IL, 60453-2600. NPI Number Mark Adrian Faasse M.D. has the Individual type.

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1003025651 NPI number is provided on an as is basis without warranty of any kind. 1003025651 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Adrian Faasse M.D. are for informational purposes only.