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Individual
DR. MARK H WERNICK
Active
Individual
DR. MARK H WERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-127995
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036-127995
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720371669
NPI GROUP PRACTICE
IL
01
—
IL6304006
MEDICARE PTAN LOC 16
IL
01
—
IL6305006
MEDICARE PTAN LOC 15
IL
01
—
P01013367
RRMC PTAN
IL
Enumeration date
06/01/2006
Last updated
01/30/2013
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