Individual
MARK EDWARD GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611
(612) 810-8670
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4100
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036.174833
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2022
Last updated
08/21/2025
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