Amanda Mark, DO is a
Student In An Organized Health Care Education/training Program physician based in Park Ridge, Illinois. Amanda Mark is licensed to practice in * (Not Available) (license number ) and her current practice location is 1775 Dempster St, Park Ridge, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 723-2210.
NPI number for Amanda Mark is 1588314199 and her current mailing address is 1775 Dempster St, Park Ridge, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588314199.
Physician's Profile
| Full Name | Amanda Mark |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1775 Dempster St, Park Ridge, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588314199
- Provider Enumeration Date: 03/25/2022
- Last Update Date: 06/13/2022
Medical Identifiers
Medical identifiers for Amanda Mark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588314199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 125.079308 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Mark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amanda Mark, DO
1775 Dempster St,
Park Ridge, IL 60068-1143
Ph: () - | Amanda Mark, DO
1775 Dempster St,
Park Ridge, IL 60068-1143
Ph: (847) 723-2210 |
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