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NPI Code Detail

MEDICARE: DR. EDWIN M. MARKS M.D.

MEDICARE:  DR. EDWIN M. MARKS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianIL

General Provider Information

NPI Number : 1134151368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWIN M. MARKS M.D.
Provider Business Mailing Address
First Line : 3128 QUINCY LN
Second Line :
City : AURORA
State : IL
Zip : 60504-6815
Country : US
Telephone Number : 630-862-6359
Fax Number :
Provider Business Practice Location Address
First Line : 4021 S 700 E
Second Line : SUITE 300
City : SALT LAKE CITY
State : UT
Zip : 84107-2192
Country : US
Telephone Number : 800-423-1605
Fax Number : 801-284-6775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. EDWIN M. MARKS M.D.” Practice Location

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