Mark E Mullendore in Springfield - Internal Medicine
Mark E Mullendore - NPI 1275543910
Mark E Mullendore is a Internal Medicine in Springfield, Illinois. Mark E Mullendore practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark E Mullendore is 1275543910. The last update date is 2011-12-16.
Mark E Mullendore's current location address is 2901 Old Jacksonville Rd, Springfield, Illinois. You can contact this provider via phone number 2176989722 and fax number 2173910392. The mailing address for Mark E Mullendore is 2901 Old Jacksonville Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark E Mullendore |
|---|---|
| Address | 2901 Old Jacksonville Rd, Springfield, Illinois |
| Phone Number | 2176989722 |
| Fax Number | 2173910392 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275543910 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2011-12-16 |
Provider Mailing Address Detail
| Address | 2901 Old Jacksonville Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047437 |
| Phone Number | 2176989722 |
| Fax Number | 2173910392 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36057331 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54501 | IL | HEALTH ALLIANCE | |
| 8421024 | IL | BC/BS | |
| 110140987 | IL | RR MEDICARE PIN | |
| 133586700 | IL | ACS-OWCP | |
| 101525 | IL | HEALTHLINK | |
| CD7143 | IL | RR MEDICARE GROUP | |
| 6394P | IL | CATERPILLAR | |
| 20057300 | IL | BLACK LUNG | |
| 36057331 | IL | IL STATE LICENSE | |
| 36057331 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark E Mullendore by the Centers for Medicare & Medicaid Services?
The Mark E Mullendore has been issued the NPI (National Provider Identifier) 1275543910 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mark E Mullendore is physically located?
The Mark E Mullendore is situated at the following address: 2901 Old Jacksonville Rd, Springfield, IL 627047437.
What is Mark E Mullendore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark E Mullendore's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When was the Mark E Mullendore's 1275543910 issued?
The Mark E Mullendore's 1275543910 was issued on 2006-08-08.
When was the information regarding Mark E Mullendore most recently updated?
The details pertaining to the Mark E Mullendore, including its address, specialty, and other relevant information, were last refreshed on 2011-12-16.