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Individual

MARC A ASSELMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
430 PENNSYLVANIA AVE, GLEN ELLYN, IL 60137-4464
(630) 469-9200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036077058
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036077058
IL
01
200016178
RR MEDICARE
IL
Enumeration date
12/30/2005
Last updated
08/03/2023
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