Amanda Mark, DO in Park Ridge, IL - Student in an Organized Health Care Education/Training Program

Amanda Mark, DO is a Student In An Organized Health Care Education/training Program physician based in Park Ridge, Illinois. Amanda Mark is licensed to practice in * (Not Available) (license number ) and her current practice location is 1775 Dempster St, Park Ridge, Illinois. She can be reached at her office (for appointments etc.) via phone at (847) 723-2210.

NPI number for Amanda Mark is 1588314199 and her current mailing address is 1775 Dempster St, Park Ridge, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588314199.

Contact Information

	Amanda Mark, DO
	1775 Dempster St, Park Ridge, IL 60068-1143
	(847) 723-2210
	Not Available

Physician's Profile

Full Name	Amanda Mark
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	1775 Dempster St, Park Ridge, Illinois
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1588314199
Provider Enumeration Date: 03/25/2022
Last Update Date: 06/13/2022

Medical Identifiers

Medical identifiers for Amanda Mark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588314199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	125.079308 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Mark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amanda Mark, DO 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: () -	Amanda Mark, DO 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-2210

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Amanda Mark, DO - Student in an Organized Health Care Education/Training Program in Park Ridge, IL