Mark Illeman, FNP

NPI 1548388861 · on the registry since 2007

Practice

Address: 2300 California St
Suite 306
San Francisco, CA 94115
Phone: (415) 202-1550
Fax: (415) 776-8233
Organisation at this address: Strategic Wellness Inc
California Pacific Medical Center
M David Thier Md A Professional Corporation
California Pacific Medical Center Physicians' Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California