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Individual
SCOTT M MERCOLA
Active
Individual
SCOTT M MERCOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036084477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36084477
—
IL
Enumeration date
02/15/2006
Last updated
03/01/2023
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