Search › Illinois › 213ES0103X
Mark Wavrunek
NPI 1194107607 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4800 Maine St
Quincy, IL 62305 - Phone
- (217) 214-3823
- Organisation at this address
- Blessing Hospital
Blessing Corporate Services, Inc
Advance Physical Therapy & Sports Medicine Of Adams County LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Additional practice sites
- 161 Washington Pointe Dr, Indianapolis, IN
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213E00000X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois