Mark Andrew Fenlon D.P.M.

NPI 1043341068 - Podiatrist - 213ES0103X

NPI Details
NPI 1043341068
Gender Male
Enumeration Date 03/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
12620 S HARLEM AVE
PALOS HEIGHTS IL, 60463-1428, US
Phone (708) 361-3338
Fax (708) 361-3748
Business Location
12620 S HARLEM AVE
PALOS HEIGHTS IL, 60463-1428, US
Phone (708) 361-3338
Fax (708) 361-3748
Toxanomy
Taxonomy Code 213ES0103X
License State Illinois
License Number 16-004799
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According to our database, Dr. Mark Andrew Fenlon D.P.M. NPI is 1043341068, taxonomy code is 213ES0103X and license number is 16-004799, license state is located at Illinois. Mark Andrew Fenlon D.P.M. physically located at 12620 S Harlem Ave, Palos Heights IL, 60463-1428. NPI Number Mark Andrew Fenlon D.P.M. has the Individual type.

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1043341068 NPI number is provided on an as is basis without warranty of any kind. 1043341068 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Andrew Fenlon D.P.M. are for informational purposes only.