Search › Illinois › 152WV0400X
Mark Takesuye, OD
NPI 1558890210 · on the registry since 2017
Practice
- Address
- 3232 W Bryn Mawr Ave
Chicago, IL 60659 - Phone
- (773) 588-4433
- Organisation at this address
- Mark Takesuye, Od, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 6345 Balboa Blvd Ste 250, Encino, CA
Registry record
- Primary taxonomy
- 152WV0400X
152WV0400X
- Also registered as
- 152W00000X
152WC0802X
152WP0200X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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 Illinois