Mark T Upton Md Facc Sc

NPI 1184699563 - Internal Medicine - 207RC0000X

NPI Details
NPI 1184699563
Enumeration Date 02/21/2006
Last Updated 02/26/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK T MARK
Position PHYSICIAN / OWNER
Phone (312) 573-0973
Fax (312) 573-0973
Practice Location
233 E ERIE ST
SUITE 412
CHICAGO IL, 60611-2926, US
Phone (312) 573-0973
Fax (312) 573-0973
Business Location
1730 PARK ST
SUITE 101
NAPERVILLE IL, 60563-2688, US
Phone (630) 718-0200
Fax (630) 718-0900
Toxanomy
Taxonomy Code 207RC0000X
License State
License Number
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According to our database, Mark T Upton Md Facc Sc NPI is 1184699563, taxonomy code is 207RC0000X Mark T Upton Md Facc Sc physically located at 233 E Erie St, Chicago IL, 60611-2926. NPI Number 1033115704 has the healthcare provider type.

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1184699563 NPI number is provided on an as is basis without warranty of any kind. 1184699563 is maintained by the National Plan & Provider Enumeration System. The contents of Mark T Upton Md Facc Sc are for informational purposes only.