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Contact Information

MARK D ALTER, MD
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MARK D ALTER · (Male)

NPI # 1730263617
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 02/05/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • CA License # C161292
  • DE License # C1-0010413
  • IL License # 036139217
  • MT License # MED-PHYS-LIC-48691
  • NJ License # 25MA08775500
  • PA License # MD434911
  • VA License # 0101259576
  • WI License # 1745
  • NJ Medicaid 0331082
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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