Mark S Travis
Internist Nephrologist Geriatric Medicine
1229 N North Branch St Suite 210
Chicago
, Illinois 60622-2473
Mark S Travis
Internist Nephrologist Geriatric Medicine
1229 N North Branch St Suite 210
Chicago
, Illinois 60622-2473
(312) 640-4496
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About
Features
Specialties
- Internist
- Geriatric Medicine
- Nephrologist
Languages spoken
- English
Location
First Address
- Mark S Travis
- 1229 N North Branch St Suite 210
- Chicago, IL
- Zip : 60622-2473
- Fax : (312) 640-4496
- Phone : (312) 939-5090
Second Address
- Mark S Travis
- 1229 N North Branch St Suite 210
- Chicago, IL
- Zip : 60622-2473
- Fax : (312) 640-4496
- Phone : (312) 939-5090
Reviews
FAQs
Where did Mark S Travis attend graduate school?
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Where did Mark S Travis do his fellowship?
Is Mark S Travis board certified?
What type of doctor is Mark S Travis
In what state does Mark S Travis practice in?
Where is Mark S Travis ’s practice located?
What is Mark S Travis ’s gender?
Is Mark S Travis a sole practitioner?
Is Mark S Travis accepting new patients?
What languages does Mark S Travis speak?
Does Mark S Travis accept insurance?
Does Mark S Travis offers telemedicine?
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What is Mark S Travis ’s NPI number?
Does Mark S Travis have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 01061315A | IN |
| N | 111NI0900X | Internist | 01061315A | IN |
| Y | 207RG0300X | Geriatric Medicine | IL | |
| N | 207RN0300X | Nephrologist | 01061315A | IN |
National Provider Identifier
| NPI | 1083690093 |
|---|---|
| Provider Name | Mark S Travis |
| First Address | Chicago, IL 60622-2473 |
| Second Address | Chicago, IL 60622-2473 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2005 |
| Last Update Date | 01/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000383791 | ANTHEM PROVIDER NUMBER (01) | IN |
| 01061315A | LICENSE NUMBER (01) | IN |
| E61569 | (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.