Individual
MARK ATKINSON VANGORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
(708) 503-3242
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01053877A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036104407
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000648429
BC/BS
IN
01
—
01630255
BC/BC
IL
01
—
070058
CCN
IN
01
—
199791
BC/BS
IN
05
—
200327850
—
IN
01
—
220032191
RR MEDICARE
IN
01
—
351173213
HFN
IN
01
—
9512355002
CIGNA
IN
01
—
P00818143
RAILROAD MEDICARE
IN
Enumeration date
08/25/2005
Last updated
01/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us