Individual
DR. MARK KEVIN KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12935 GREGORY ST, EMERGENCY DEPARTMENT, BLUE ISLAND, IL 60406-2428
(708) 597-2000
Mailing address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(708) 597-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.141200
IL
Other
Enumeration date
03/25/2012
Last updated
08/29/2016
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