Keldahl, Mark Loren

Keldahl, Mark Loren is an individual health care provider with primary practice located at 3000 N. Halsted St. Suite 703, Chicago IL 60657. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Keldahl, Mark Loren can be contacted via phone (773) 296-3390.

Contact Information

Primary practice address
3000 N. Halsted St. Suite 703 Chicago IL 60657
Phone: (773) 296-3390
Fax: (773) 296-7531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036117220 Illinois
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 59517 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-117220 Illinois

Profile Details

NPI number 1114181658
LBN Legal business name Keldahl, Mark Loren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2008
Last updated Dec 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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