Mark D. Gendleman, M.D.

Specialist · Evanston, IL

Individual Active NPI

NPI number 1457339863

Practice location

2500 Ridge Ave
Suite 103
Evanston, IL 60201-2455
Phone
(847) 475-4556
Fax
(847) 475-4565

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NPI record

NPI
1457339863
Entity type
Individual (Type 1)
Enumeration date
January 5, 2006
Last updated
March 11, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 036045834 IL

About Dr. Gendleman

Mark D. Gendleman, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2500 Ridge Ave, Suite 103, Evanston, IL 60201-2455. The NPI number 1457339863 was assigned on January 5, 2006 and the record was last updated on March 11, 2015.

Dr. Gendleman lists a license in the registry: #036045834 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark D. Gendleman, M.D.?

The NPI number is 1457339863.

What is the phone number of Dr. Gendleman?

The phone number listed for the practice location is (847) 475-4556.

Where is Dr. Gendleman located?

2500 Ridge Ave, Suite 103, Evanston, IL 60201-2455.

What is the taxonomy code for Dr. Gendleman?

The primary taxonomy code is 174400000X – Specialist.

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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