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Organization

MARK T UPTON MD FACC SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK T UPTON M.D. (PHYSICIAN / OWNER)
(630) 718-0200
Entity
Organization

Contact information

Practice address
233 E ERIE ST, SUITE 412, CHICAGO, IL 60611-2926
(312) 573-0973
(312) 573-0973
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031604062
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
02/21/2006
Last updated
02/26/2015
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