Mark James Gagnon is a Podiatrist in Summit, Illinois. Mark James Gagnon practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark James Gagnon is 1043261282. The last update date is 2021-12-22.
Mark James Gagnon's current location address is 7355 Archer Ave, Summit, Illinois. You can contact this provider via phone number 7732298200 and fax number 7732299752. The mailing address for Mark James Gagnon is 7355 Archer Ave, Summit, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark James Gagnon |
|---|---|
| Address | 7355 Archer Ave, Summit, Illinois |
| Phone Number | 7732298200 |
| Fax Number | 7732299752 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1043261282 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 7355 Archer Ave |
|---|---|
| City | Summit |
| State | Illinois (IL) |
| Post Code | 605011225 |
| Phone Number | 7732298200 |
| Fax Number | 7732299752 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16004840 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique 10-digit identifier code assigned to Mark James Gagnon by the Centers for Medicare & Medicaid Services?
The Mark James Gagnon has been issued the NPI (National Provider Identifier) 1043261282 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 James Gagnon?
The Mark James Gagnon is situated at 7355 Archer Ave, in the city of Summit, state of IL, with the zip code 605011225.
What is Mark James Gagnon's area of expertise and its corresponding taxonomy classification?
The Mark James Gagnon's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1043261282 to Mark James Gagnon?
The Centers for Medicare & Medicaid Services assigned the 1043261282 to Mark James Gagnon on 2006-05-12.
When was the information related to Mark James Gagnon most recently updated or refreshed?
The details pertaining to the Mark James Gagnon, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-22.