IndividualActive
Mark Passerman, DO
NPI 1851404313 · Family Medicine Physician · Dwight, IL
Provider details
- NPI number
- 1851404313
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 036-116449 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
101 S Prairie Ave
Dwight, IL 60420
Phone: (815) 584-3291
Fax: (815) 584-3475
Approximate (ZIP-level) locationGet directions
Mailing address
725 School St Ste a
Morris, IL 60450-1207
Additional practice locations (1)
- 389 E Main StBraidwood, IL 60408-2010Phone: (815) 458-2532Fax: (815) 458-2455
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2021-06-14
- Certified
- 2021-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.