Individual
DR. MARK R. TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 N ARBORETUM CIR, WHEATON, IL 60189-8703
(630) 364-6564
Mailing address
417 N ARBORETUM CIR, WHEATON, IL 60189-8703
(630) 364-6564
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036089479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089479
—
IL
Enumeration date
06/06/2006
Last updated
03/18/2015
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