Individual
DR. MARK DAVID LIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 527-3000
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 982-3362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036137811
IL
207P00000X
Emergency Medicine Physician
125060588
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125060588
PHYSICIAN TEMPORARY LICENSE
IL
Enumeration date
06/29/2011
Last updated
11/25/2025
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