Individual
DR. MARK VEXELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 E HURON STREET, SUITE 805, CHICAGO, IL 60611-2912
(312) 649-6565
(312) 649-9842
Mailing address
150 E HURON STREET, SUITE 805, CHICAGO, IL 60611-2912
(312) 649-6565
(312) 649-9842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036095873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095873
—
IL
Enumeration date
08/09/2006
Last updated
08/21/2008
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