Mark D Forrestal, MD is a
Phlebology physician based in Arlington Heights, Illinois. Mark D Forrestal is licensed to practice in Illinois (license number 036-062967) and his current practice location is 1410 N Arlington Heights Rd, Ste 300, Arlington Heights, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 618-1740.
NPI number for Mark D Forrestal is 1578552246 and his current mailing address is 1410 N Arlington Heights Rd, Ste 300, Arlington Heights, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578552246.
Physician's Profile
Full Name | Mark D Forrestal |
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Gender | Male |
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Speciality | Phlebology |
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Location | 1410 N Arlington Heights Rd, Arlington Heights, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578552246
- Provider Enumeration Date: 10/17/2005
- Last Update Date: 03/03/2020
Medical Identifiers
Medical identifiers for Mark D Forrestal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578552246 | NPI | - | NPPES |
31601993 | Other | IL | BCBS OF ILLINOIS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036-062967 (Illinois) | Secondary |
202K00000X | Phlebology | 036-062967 (Illinois) | 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. Mark D Forrestal 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 |
Mark D Forrestal, MD 1410 N Arlington Heights Rd, Ste 300, Arlington Heights, IL 60004-4827 Ph: (847) 618-1740 | Mark D Forrestal, MD 1410 N Arlington Heights Rd, Ste 300, Arlington Heights, IL 60004-4827 Ph: (847) 618-1740 |
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