| Dr Mark Trelka Ltd | |
|
565 Lakeview Pkwy Suite 104 Vernon Hills IL 60061-1857 | |
| (847) 549-0232 | |
| (847) 549-9329 |
| Full Name | Dr Mark Trelka Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 565 Lakeview Pkwy, Vernon Hills, Illinois |
| Authorized Official Name and Position | Mark J Trelka (PHYSICIAN) |
| Authorized Official Contact | 8475490232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Trelka Ltd 565 Lakeview Pkwy Suite 104 Vernon Hills IL 60061-1857 Ph: (847) 549-0232 | Dr Mark Trelka Ltd 565 Lakeview Pkwy Suite 104 Vernon Hills IL 60061-1857 Ph: (847) 549-0232 |
| NPI Number | 1649347808 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649347808 | NPI | - | NPPES |
| 036082394 | Medicaid | IL | |
| 03905078 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036082394 (Illinois) | Primary |
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