Mark J. Tatara in Downers Grove - Internal Medicine

Mark J. Tatara - NPI 1043256324

Mark J. Tatara is a Internal Medicine in Downers Grove, Illinois. Mark J. Tatara practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark J. Tatara is 1043256324. The last update date is 2021-12-23.

Mark J. Tatara's current location address is 6840 Main St Ste 200, Downers Grove, Illinois. You can contact this provider via phone number 6308695382 and fax number 6308695383. The mailing address for Mark J. Tatara is 6840 Main St Ste 200, Downers Grove, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark J. Tatara
Address 6840 Main St Ste 200, Downers Grove, Illinois
Phone Number 6308695382
Fax Number 6308695383
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043256324
Provider Enumeration Date 2006-06-22
Last Updated Date 2021-12-23

Provider Mailing Address Detail

Address 6840 Main St Ste 200
City Downers Grove
State Illinois (IL)
Post Code 605163430
Phone Number 6308695382
Fax Number 6308695383

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 036-077438
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
795794 OH --
100355690 IN --

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FAQs about Mark J. Tatara

What is the unique 10-digit identification code assigned to Mark J. Tatara by the Centers for Medicare & Medicaid Services?

The Mark J. Tatara has been issued the NPI (National Provider Identifier) 1043256324, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark J. Tatara is geographically located?

The Mark J. Tatara is physically situated at the following location: 6840 Main St Ste 200, Downers Grove, IL, 605163430.

What is the Mark J. Tatara's specialty and taxonomy code?

The Mark J. Tatara's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043256324 to Mark J. Tatara?

The Centers for Medicare & Medicaid Services originally issued the 1043256324 to Mark J. Tatara on 2006-06-22.

When was the information related to Mark J. Tatara most recently updated or refreshed?

The details pertaining to the Mark J. Tatara, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-23.

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