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1013015031
MARK T. MCKAY
SPRINGFIELD, IL
NPI
1013015031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-095953)
Enumeration Date
2006-09-21
Last Update Date
2020-05-21
Business Address
MARK T. MCKAY M.D.
2200 WABASH AVE
SPRINGFIELD, IL 62704-5352
Phone number: 217-528-7541
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Mailing Address
MARK T. MCKAY M.D.
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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