Individual
MARK L. MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
808 S WOOD ST, 471H CME, MC 724, CHICAGO, IL 60612-7300
(312) 413-3008
(312) 413-0289
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036066882
IL
Other
Enumeration date
09/22/2006
Last updated
12/30/2008
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