Mark Charles Macdonald in Wheaton - Clinical
Mark Charles Macdonald - NPI 1013033885
Mark Charles Macdonald is a Clinical in Wheaton, Illinois. Mark Charles Macdonald practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Charles Macdonald is 1013033885. The last update date is 2013-11-12.
Mark Charles Macdonald's current location address is 600 W Roosevelt Rd, Wheaton, Illinois. You can contact this provider via phone number 6304628810 and fax number 6304628820. The mailing address for Mark Charles Macdonald is 600 W Roosevelt Rd, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Charles Macdonald |
|---|---|
| Address | 600 W Roosevelt Rd, Wheaton, Illinois |
| Phone Number | 6304628810 |
| Fax Number | 6304628820 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1013033885 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2013-11-12 |
Provider Mailing Address Detail
| Address | 600 W Roosevelt Rd |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 601875088 |
| Phone Number | 6304628810 |
| Fax Number | 6304628820 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149-000701 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Mark Charles Macdonald's unique identification number?
The Mark Charles Macdonald has been assigned the NPI (National Provider Identifier) Number 1013033885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mark Charles Macdonald's physical address?
The Mark Charles Macdonald is physically located at 600 W Roosevelt Rd, in the city of Wheaton, IL, with the postal code 601875088.
What is the Mark Charles Macdonald's specialty and taxonomy code?
The Mark Charles Macdonald's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Mark Charles Macdonald's 1013033885 issued?
The Mark Charles Macdonald's 1013033885 was issued on 2007-03-22.
As of what date were the details related to Mark Charles Macdonald most recently updated or revised?
The information pertaining to Mark Charles Macdonald, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-12.