Mark Tomera MC

Surgery Physician · River Forest, IL

Organization Active NPI

NPI number 1386805570

Practice location

7579 Lake St
River Forest, IL 60305-1846
Phone
(708) 366-7177

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NPI record

NPI
1386805570
Entity type
Organization (Type 2)
Enumeration date
June 19, 2008
Last updated
June 19, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 036065652 IL

Authorized official

Name
Elizabeth Brundgae
Title
Director of Operations
Phone
(708) 366-7177

About Mark Tomera MC

Mark Tomera MC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 7579 Lake St, River Forest, IL 60305-1846. The NPI number 1386805570 was assigned on June 19, 2008 and the record was last updated on June 19, 2008.

Mark Tomera MC lists a license in the registry: #036065652 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Elizabeth Brundgae, Director of Operations.

Frequently asked questions

What is the NPI number of Mark Tomera MC?

The NPI number is 1386805570.

What is the phone number of Mark Tomera MC?

The phone number listed for the practice location is (708) 366-7177.

Where is Mark Tomera MC located?

7579 Lake St, River Forest, IL 60305-1846.

What is the taxonomy code for Mark Tomera MC?

The primary taxonomy code is 208600000X – Surgery 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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