Individual
MARK P MCANDREW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4909
(217) 545-5878
(217) 545-7901
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036060056
IL
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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