Mark David Gendleman (NPI# 1457339863, PAC ID# 9436346095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1457339863 |
| PAC ID by PECOS | 9436346095 |
| Professional Enrollment ID | I20101208000461 |
| Full Name | Mark David Gendleman |
| Address |
2500 Ridge Ave Suite 103 Evanston IL 60201-2468 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1971 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2500 Ridge Ave, Suite 103, Evanston, IL 60201-2468 |
| Street Address |
2500 RIDGE AVE SUITE 103 |
| City | EVANSTON |
| State | IL |
| Zip | 60201-2468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth K Woo-strauss | Internal Medicine | 2500 Ridge Ave, Suite 104, Evanston, IL 60201-2468 | |
| Heidi Huh Evans | Clinical Social Worker | 2500 Ridge Ave, Suite 305, Evanston, IL 60201-2477 | |
| Samantha D Winerman | Podiatry | Evanston Podiatric Surgeons PC | 2500 Ridge Ave, Suite 110, Evanston, IL 60201-2468 |
| John V Groth | Pathology | Northshore University Healthsystem Faculty Practice Associates | 2500 Ridge Ave, Evanston, IL 60201-2455 |
| Vivian H Chou | Allergy/immunology | Illinois Allergy and Asthma Specialists Sc | 2500 Ridge Ave, 211a, Evanston, IL 60201-2475 |
| Tayeb S Hussain | Podiatry | Evanston Podiatric Surgeons PC | 2500 Ridge Ave, Suite 110, Evanston, IL 60201-2468 |
| Jeffrey G Geohas | Internal Medicine | 2500 Ridge Ave, Suite 104, Evanston, IL 60201-2468 | |
| Allison Lovering | Physical Therapy | Dpt Holdings LLC | 2500 Ridge Ave, Evanston, IL 60201-2455 |
| Amishi S Murthy | Allergy/immunology | Illinois Allergy and Asthma Specialists Sc | 2500 Ridge Ave, 211a, Evanston, IL 60201-2475 |
| Kristen G Randall | Optometry | 2500 Ridge Ave, Evanston, IL 60201-2455 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Therese J Given | Clinical Social Worker | 3008 Central St, Evanston, IL 60201-1101 | |
| Kristina Byzyka | Optometry | Rosin Optical Co Inc | 2914 Central St, Evanston, IL 60201-1237 |
| George Pawlyk | Optometry | Rosin Optical Co Inc | 2914 Central St, Evanston, IL 60201-1237 |
| Kevin Pfeiffer | Optometry | Rosin Optical Co Inc | 2914 Central St, Evanston, IL 60201-1237 |
| Jerome P Wagner | Psychologist, Clinical | 2603 Broadway, Evanston, IL 60201-1501 | |
| Robert Lee Behrends | Podiatry | 1713 Central St, Evanston, IL 60201-1507 | |
| Todd S Newberger | Internal Medicine | 1713 Central St, Evanston, IL 60201-1507 | |
| Alan A Harvey | Maxillofacial Surgery | 2650 Ridge Ave, Evanston, IL 60201-1700 | |
| Adela Kola | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 2650 Ridge Ave, Evanston, IL 60201-1718 |
| Lynn K Martin | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 2650 Ridge Ave, Evanston, IL 60201-1718 |
| Find all physicians in zip 60201 | |||
| City | EVANSTON |
| Zip Code | 60201 |
| Specialty | DERMATOLOGY |
| City + Specialty | EVANSTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Mark David Gendleman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.