Individual
MARK LOREN KELDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N. HALSTED ST., SUITE 703, CHICAGO, IL 60657
(773) 296-3390
(773) 296-7531
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-117220
IL
208600000X
Surgery Physician
036117220
IL
2086S0129X
Vascular Surgery Physician
59517
TN
Other
Enumeration date
07/14/2008
Last updated
03/25/2025
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