Individual
MARK E MCKEIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10755 W 163RD PLACE, ORLAND PARK, IL 60467-8861
(708) 873-1187
(708) 873-1204
Mailing address
10755 W 163RD PLACE, ORLAND PARK, IL 60467-8861
(708) 873-1187
(708) 873-1204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036056879
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056879
—
IL
Enumeration date
01/04/2006
Last updated
02/04/2014
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