Provider Demographics
NPI:1821105057
Name:DREXLER, MARK ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALLEN
Last Name:DREXLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2550 COMPASS RD
Mailing Address - Street 2:SUITE A-B
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8031
Mailing Address - Country:US
Mailing Address - Phone:847-904-7800
Mailing Address - Fax:847-904-7122
Practice Address - Street 1:2550 COMPASS RD
Practice Address - Street 2:SUITE A-B
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8031
Practice Address - Country:US
Practice Address - Phone:847-904-7800
Practice Address - Fax:847-904-7122
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036093384207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036093384 1Medicaid
ILG55342Medicare UPIN
IL211258Medicare PIN