Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK R GARDNER, M.D.
Active Sole ProprietorMARK R GARDNER, M.D. is a Occupational Medicine healthcare provider located in EAST CHICAGO, Indiana. NPI 1114055787 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · EAST CHICAGO, IN
Registration Details
- NPI Number
- 1114055787
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2007 (19.468979837905 yrs)
- Last Updated
- Oct 13, 2017
- Licenses
-
036068695 (IL)01059461A (IN)036068695 (IL)01059461A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4321 FIR ST STE 313EAST CHICAGO, IN, 463123049Browse IN providers · Browse ZIP 46312
- Phone
- 2193927424
- Fax
- 2193927450
- Primary Specialty
-
Occupational Medicine
2083X0100X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Occupational Medicine
- Additional Specialty
- Occupational Medicine
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.