Mark Arcega

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Edwardsville, IL

NPI 1639007461 · NPPES record last updated May 12, 2026

Key facts

NPI
1639007461
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1 Hairpin Drive
Edwardsville, IL 62026-0001
Phone
(618) 650-3956
NPI assigned
May 12, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1 Hairpin Drive
Edwardsville, IL 62026-0001

Mailing address

1 Hairpin Drive
Edwardsville, IL 62026-0001
Phone (618) 650-3956

Other providers in Edwardsville, IL

All providers in Edwardsville, IL · Student in an Organized Health Care Education/Training Program in Illinois

Sources for this page

Verify at the official NPI Registry.