Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK JAMES GAGNON, DPM
Active Sole ProprietorDR. MARK JAMES GAGNON, DPM is a Podiatrist healthcare provider located in SUMMIT, Illinois. NPI 1043261282 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SUMMIT, IL
Registration Details
- NPI Number
- 1043261282
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2006 (20.24001679274 yrs)
- Last Updated
- Dec 22, 2021
- License
-
016004840 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7355 ARCHER AVEUNIT DSUMMIT, IL, 605011225Browse IL providers · Browse ZIP 60501
- Phone
- 7732298200
- Fax
- 7732299752
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.