Dr. Mark James Gagnon
Podiatrist
7355 Archer Ave Unit D
Summit
, Illinois 60501-1225
Dr. Mark James Gagnon
Podiatrist
7355 Archer Ave Unit D
Summit
, Illinois 60501-1225
(773) 229-9752
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Mark James Gagnon
- 7355 Archer Ave Unit D
- Summit, IL
- Zip : 60501-1225
- Fax : (773) 229-9752
- Phone : (773) 229-8200
Second Address
- Dr. Mark James Gagnon
- 7355 Archer Ave Unit D
- Summit, IL
- Zip : 60501-1225
- Fax : (773) 229-9752
- Phone : (773) 229-8200
Reviews
FAQs
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Is Dr. Mark James Gagnon a sole practitioner?
Is Dr. Mark James Gagnon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016004840 | IL |
| Y | 222Z00000X | Podiatrist | 016004840 | IL |
National Provider Identifier
| NPI | 1043261282 |
|---|---|
| Provider Name | Dr. Mark James Gagnon |
| First Address | Summit, IL 60501-1225 |
| Second Address | Summit, IL 60501-1225 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2006 |
| Last Update Date | 22/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U69415 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.