Organization
MARK E NEAMAND DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E NEAMAND DPM PC (PRESIDENT)
(847) 698-2895
Entity
Organization
Contact information
Practice address
621 DEVON AVE, PARK RIDGE, IL 60068-4732
(847) 698-2895
(847) 698-2942
Mailing address
621 DEVON AVE, PARK RIDGE, IL 60068-4732
(847) 698-2895
(847) 698-2942
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001626856
BLUE CROSS BLUE SHIELD
IL
01
—
DC4413
RAILROAD MEDICARE GROUP NUMBER
IL
Enumeration date
11/26/2007
Last updated
11/05/2009
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