Organization
DR MARK TRELKA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J TRELKA MD (PHYSICIAN)
(847) 549-0232
Entity
Organization
Contact information
Practice address
565 LAKEVIEW PKWY, SUITE 104, VERNON HILLS, IL 60061-1857
(847) 549-0232
(847) 549-9329
Mailing address
565 LAKEVIEW PKWY, SUITE 104, VERNON HILLS, IL 60061-1857
(847) 549-0232
(847) 549-9329
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036082394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082394
—
IL
01
—
03905078
BCBS
IL
Enumeration date
11/30/2006
Last updated
01/09/2012
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