Provider Demographics
NPI:1205829801
Name:HILL, MARK NOLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:NOLAN
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:625 ROGER WILLIAMS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-4840
Mailing Address - Country:US
Mailing Address - Phone:847-432-9420
Mailing Address - Fax:847-432-9495
Practice Address - Street 1:625 ROGER WILLIAMS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-4840
Practice Address - Country:US
Practice Address - Phone:847-432-9420
Practice Address - Fax:847-432-9495
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2014-10-28
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Provider Licenses
StateLicense IDTaxonomies
IL036064051208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery