Individual
MARK A. SPEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4847
(630) 933-3826
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4847
(630) 933-3826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119500
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036119500
IL
208M00000X
Hospitalist Physician
036119500
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE GROUP
IL
01
—
F400446455
MEDICARE INDIVIDUAL
IL
Enumeration date
09/05/2007
Last updated
01/24/2024
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