Mark Loren Keldahl in Chicago - Vascular Surgery
Mark Loren Keldahl - NPI 1114181658
Mark Loren Keldahl is a Vascular Surgery in Chicago, Illinois. Mark Loren Keldahl practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mark Loren Keldahl is 1114181658. The last update date is 2021-12-29.
Mark Loren Keldahl's current location address is 3000 N. Halsted St., Chicago, Illinois. You can contact this provider via phone number 7732963390 and fax number 7732967531. The mailing address for Mark Loren Keldahl is 3000 N. Halsted St., Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Loren Keldahl |
|---|---|
| Address | 3000 N. Halsted St., Chicago, Illinois |
| Phone Number | 7732963390 |
| Fax Number | 7732967531 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114181658 |
|---|---|
| Provider Enumeration Date | 2008-07-14 |
| Last Updated Date | 2021-12-29 |
Provider Mailing Address Detail
| Address | 3000 N. Halsted St. |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60657 |
| Phone Number | 7732963390 |
| Fax Number | 7732967531 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 59517 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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What is the unique identifier code issued to Mark Loren Keldahl by the Centers for Medicare & Medicaid Services?
The Mark Loren Keldahl has been assigned the NPI (National Provider Identifier) 1114181658. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark Loren Keldahl is physically located?
The Mark Loren Keldahl is situated at the following address: 3000 N. Halsted St., Chicago, IL 60657.
What is Mark Loren Keldahl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Loren Keldahl is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did the Mark Loren Keldahl receive the assignment of its 1114181658 from the Centers for Medicare & Medicaid Services?
The Mark Loren Keldahl was issued its 1114181658 by the Centers for Medicare & Medicaid Services on 2008-07-14.
When was the information regarding Mark Loren Keldahl, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Loren Keldahl, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-29.