| Mark E Mullendore, MD | |
|
2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | |
| (217) 698-9722 | |
| (217) 391-0392 |
| Full Name | Mark E Mullendore |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2901 Old Jacksonville Rd, Springfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275543910 | NPI | - | NPPES |
| 054501 | Other | IL | HEALTH ALLIANCE |
| 08421024 | Other | IL | BC/BS |
| 110140987 | Other | IL | RR MEDICARE PIN |
| 133586700 | Other | IL | ACS-OWCP |
| 101525 | Other | IL | HEALTHLINK |
| CD7143 | Other | IL | RR MEDICARE GROUP |
| 6394P | Other | IL | CATERPILLAR |
| 020057300 | Other | IL | BLACK LUNG |
| 036057331 | Other | IL | IL STATE LICENSE |
| 036057331 | Medicaid | IL | |
| 14D0949277 | Other | IL | CLIA |
| 170777 | Other | IL | PERSONAL CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036057331 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Mullendore, MD Po Box 500, Chatham, IL 62629-0500 Ph: (217) 670-2424 | Mark E Mullendore, MD 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 Ph: (217) 698-9722 |
Zachariah Gurnsey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Ste 1100, Springfield, IL 62702 Phone: 217-545-0182 Fax: 217-545-8156 | |
Fadel Ahmed Bofarrag, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D434, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7063 | |
Winston J Townsend, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 S Macarthur Blvd, Springfield, IL 62704 Phone: 217-789-1403 Fax: 217-789-1825 | |
William R Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-698-8012 | |
Dr. Susan M. O'neal, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-528-7541 | |
Dr. Mukul Bhattarai, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7877 | |
Nathalie Emma-marie Foray, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1229 |