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Mark Mederich
NPI 1700648045 · on the registry since 2024
Practice
- Address
- 2815 W Pratt Blvd
Chicago, IL 60645 - Phone
- (773) 844-6182
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-23
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