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Individual
MR. MARK DAVID ZENKE
Active
Individual
MR. MARK DAVID ZENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN APRN FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041398904
IL
363LF0000X
Family Nurse Practitioner
Primary
209015206
IL
Other
Enumeration date
10/03/2016
Last updated
12/05/2016
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