Search › Illinois › 207Q00000X
Mark Klucka, D.O
NPI 1801902432 · on the registry since 2006
Practice
- Address
- 4 Memorial Dr Ste 230
Alton, IL 62002 - Phone
- (618) 463-7874
- Organisation at this address
- Pediatric Healthcare Unlimited
Southern Illinois Health Care Foundation, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 71
Additional practice sites
- 2 Saint Anthonys Way, Alton, IL
- 3 Saint Elizabeth Blvd, O Fallon, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207RG0100X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-19
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 Illinois