Mark Amdur, MD

Psychiatry Physician · Berwyn, IL

Individual Active NPI

NPI number 1346277274

Practice location

6201 Roosevelt Rd
Berwyn, IL 60402-1108
Phone
(708) 386-0845

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NPI record

NPI
1346277274
Entity type
Individual (Type 1)
Enumeration date
June 27, 2006
Last updated
December 23, 2019
Certified
December 23, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychiatry Physician Primary 2084P0800X 036044305 IL

Mailing address

4250 N Marine Dr
Suite 236
Chicago, IL 60613-1744
Phone
(773) 404-0160

Other practice locations (1)

  • 4250 N Marine Dr, Suite 236, Chicago, IL 60613-1744 · (773) 404-0160

About Dr. Amdur

Mark Amdur, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychiatry Physician (code 2084P0800X). The practice location is 6201 Roosevelt Rd, Berwyn, IL 60402-1108. The NPI number 1346277274 was assigned on June 27, 2006 and the record was last updated on December 23, 2019.

Dr. Amdur lists a license in the registry: #036044305 (IL) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Amdur, MD?

The NPI number is 1346277274.

What is the phone number of Dr. Amdur?

The phone number listed for the practice location is (708) 386-0845.

Where is Dr. Amdur located?

6201 Roosevelt Rd, Berwyn, IL 60402-1108.

What is the taxonomy code for Dr. Amdur?

The primary taxonomy code is 2084P0800X – Psychiatry Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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