Individual
MARK MROCZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-6900
(208) 625-3910
Mailing address
105 S MAJOR ST, EUREKA, IL 61530-1246
(309) 467-4691
(309) 467-6229
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
M12779
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10215111
BLUE CROSS BLUE SHIELD
IL
01
—
712180
MEDICARE GROUP
IL
Enumeration date
07/22/2006
Last updated
04/14/2025
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