Individual
DR. ANGELA MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 CENTRAL ST STE 880, EVANSTON, IL 60201-1780
(847) 570-2570
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036.123226
IL
390200000X
Student in an Organized Health Care Education/Training Program
4301085650
MI
Other
Enumeration date
03/26/2007
Last updated
02/18/2021
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