Individual
DR. LAURIE O MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1653 W CONGRESS PARKWAY, CHICAGO, IL 60612
(312) 942-3138
(312) 942-5773
Mailing address
PO BOX 128, GLENVIEW, IL 60025
(312) 942-3138
(312) 942-5773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.140903
IL
Other
Enumeration date
03/29/2011
Last updated
06/05/2019
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