Individual
MARK J KORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 RUSHING DR, HERRIN, IL 62948-3730
(618) 993-3300
(618) 993-0262
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036107220
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107220
—
IL
01
—
077636
HEALTH ALLIANCE
—
01
—
080188013
BCBS
—
01
—
10019630
RAILROAD MEDICARE
—
01
—
447045
HEALTH LINK
—
Enumeration date
08/18/2006
Last updated
02/16/2021
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