Organization
MARK J. GAGNON, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAMES GAGNON D.P.M. (OWNER)
(773) 229-8200
Entity
Organization
Contact information
Practice address
7355 ARCHER AVE, SUITE D, SUMMIT, IL 60501-1225
(773) 229-8200
(773) 229-9752
Mailing address
7355 ARCHER AVE, SUITE D, SUMMIT, IL 60501-1225
(773) 229-8200
(773) 229-9752
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004840
IL
Other
Enumeration date
10/17/2007
Last updated
12/02/2009
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