NPI 1407484645

Macumber Medical LTD

Organisation Phlebology Physician Chicago, IL

Practice location

Address: 3114 W Irving Park Rd STE 1w, Chicago, IL 60618-3435
Phone: (833) 388-7669
Fax: (833) 388-7669

Authorised official

Name: Mark Macumber
Title: Owner
Phone: (773) 220-0376

Registered specialties (2)

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X

Other Phlebology providers in Illinois →

Medical Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM2500X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1407484645
Entity type: Organization
NPI issued: 1 Apr 2020
Record last updated: 28 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.