MEDICARE: DR. MARK RAYMOND GILBERT 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
1	207Y00000X	Otolaryngology Physician	2018032428	MO
2	207Y00000X	Otolaryngology Physician	55586	TN
3	207Y00000X	Otolaryngology Physician	036176822	IL

General Provider Information

NPI Number	:	1851534960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK RAYMOND GILBERT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 843966
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3966
Country	:	US
Telephone Number	:	573-884-3300
Fax Number	:	573-884-0943

Provider Business Practice Location Address
First Line	:	1009 S WOOD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3747
Country	:	US
Telephone Number	:	312-996-6269
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	12/14/2025

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