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Individual
MARK MROCZKO
Active
Individual
MARK MROCZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
M12779
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10215111
BLUE CROSS BLUE SHIELD
IL
01
—
712180
MEDICARE GROUP
IL
Enumeration date
07/22/2006
Last updated
04/14/2025
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