Organization
MARK EDELSTEIN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EDELSTEIN MD (OWNER)
(618) 288-1744
Entity
Organization
Contact information
Practice address
6810 STATE ROUTE 162, SUITE 20, MARYVILLE, IL 62062-8501
(618) 288-1744
(618) 288-2544
Mailing address
6810 STATE ROUTE 162, SUITE 20, MARYVILLE, IL 62062-8501
(618) 288-1744
(618) 288-2544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Enumeration date
02/06/2006
Last updated
10/17/2007
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