Individual
MARK VINCENT DUERINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S WASHINGTON ST, 4TH FLOOR, NAPERVILLE, IL 60540-7430
(630) 527-2730
Mailing address
1919 S HIGHLAND AVE, SUITE B202 ATTN JAN LEWIS, LOMBARD, IL 60148-6153
(630) 268-1102
(630) 268-1125
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036070721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070721
—
IL
01
—
060062540
RAILROAD MEDICARE
—
Enumeration date
06/02/2006
Last updated
07/21/2008
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