Individual
MARK ALLAN DRENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
954 WEST STATE STREET, SYCAMORE, IL 60118
(815) 895-9144
(815) 899-4234
Mailing address
954 WEST STATE STREET, SYCAMORE, IL 60118
(815) 895-9144
(815) 899-4234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036075383
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360075383
—
IL
Enumeration date
05/09/2006
Last updated
10/28/2009
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