Individual
DR. MARK A CABELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-2212
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01077459A
IN
208800000X
Urology Physician
036.152958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201403530
—
IN
Enumeration date
04/27/2006
Last updated
12/05/2024
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