# DR. MARK S. DIKOPF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255673364
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036142508 | IL | Yes |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | 036142508 | IL | — |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 04/11/2023
