MEDICARE: MR. MARK J CHARMAN 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	207R00000X	Internal Medicine Physician	036062258	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033197637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK J CHARMAN M.D.

Provider Business Mailing Address
First Line	:	600 W LAKE COOK RD
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-2089
Country	:	US
Telephone Number	:	847-632-1880
Fax Number	:	847-520-6095

Provider Business Practice Location Address
First Line	:	600 W LAKE COOK RD
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-2089
Country	:	US
Telephone Number	:	847-632-1880
Fax Number	:	847-520-6095

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	04/26/2021

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Directions to “ MR. MARK J CHARMAN M.D.” Practice Location

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