Healthcare Provider Details

I. General information

NPI: 1467080879
Provider Name (Legal Business Name): MARK MCARTHUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE FL 3
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

1775 BALLARD RD
PARK RIDGE IL
60068-1005
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1968
  • Fax:
Mailing address:
  • Phone: 847-318-9340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA189659
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1467080879
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: