Individual
DR. MARK JAMES GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7355 ARCHER AVE, UNIT D, SUMMIT, IL 60501-1225
(773) 229-8200
(773) 229-9752
Mailing address
7355 ARCHER AVE, UNIT D, SUMMIT, IL 60501-1225
(773) 229-8200
(773) 229-9752
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004840
IL
Other
Enumeration date
05/12/2006
Last updated
12/22/2021
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