Mark T Klucka is a Gastroenterology in O Fallon, Illinois. Mark T Klucka practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Mark T Klucka is 1801902432. The last update date is 2023-08-22.
Mark T Klucka's current location address is 3 Saint Elizabeth Blvd, O Fallon, Illinois. You can contact this provider via phone number 6186415803. The mailing address for Mark T Klucka is 3 Saint Elizabeth Blvd, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark T Klucka |
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Address | 3 Saint Elizabeth Blvd, O Fallon, Illinois |
Phone Number | 6186415803 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1801902432 |
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Provider Enumeration Date | 2006-08-23 |
Last Updated Date | 2023-08-22 |
Provider Mailing Address Detail
Address | 3 Saint Elizabeth Blvd |
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City | O Fallon |
State | Illinois (IL) |
Post Code | 622691281 |
Phone Number | 6186415803 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Gastroenterology |
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Taxonomy | 207Rg0100X |
Licence No | 36.077227 |
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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36077227 | IL | -- | |
100013015 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark T Klucka by the Centers for Medicare & Medicaid Services?
The Mark T Klucka has been issued the NPI (National Provider Identifier) 1801902432 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark T Klucka?
The Mark T Klucka is situated at 3 Saint Elizabeth Blvd, in the city of O Fallon, state of IL, with the zip code 622691281.
What is Mark T Klucka's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark T Klucka's area of specialization is Gastroenterology, and the corresponding taxonomy code that categorizes this field of practice is 207Rg0100X.
On what date was the 1801902432 assigned to Mark T Klucka?
The Mark T Klucka was issued its 1801902432 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark T Klucka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark T Klucka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-22.
NPI Number: 1215930425
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