Search › Illinois › 207Q00000X
Mark Passerman, DO
NPI 1851404313 · on the registry since 2006
Practice
- Address
- 101 S Prairie Ave
Dwight, IL 60420 - Phone
- (815) 584-3291
- Fax
- (815) 584-3475
Additional practice sites
- 389 E Main St, Braidwood, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-14
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