SearchIllinois101YP2500X

Roger Marks

NPI 1891376620 · on the registry since 2021

Practice

Address
911 Stacey Burk Dr
Flora, IL 62839
Phone
(618) 662-6621
Organisation at this address
County Of Clay
County Of Clay
County Of Clay
County Of Clay
County Of Clay
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-14

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