Individual
DR. MARK WAYNE CONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 756-1000
Mailing address
300 RANDALL RD STE 100, GENEVA, IL 60134-4200
(630) 938-8266
(630) 938-2110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20042160A
IN
103TC0700X
Clinical Psychologist
Primary
71007282
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1637305
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/20/2006
Last updated
10/10/2023
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