Individual
SCOTT M MERCOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7420 CENTRAL AVE, SUITE 2040, RIVER FOREST, IL 60305
(708) 776-7220
(708) 776-7226
Mailing address
7420 CENTRAL AVE, SUITE 2040, RIVER FOREST, IL 60305
(708) 776-7220
(708) 776-7226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036084477
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36084477
—
IL
Enumeration date
02/15/2006
Last updated
03/01/2023
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