Mark Atkinson Vangorder, MD
Mark Atkinson Vangorder is a Anatomic Pathology & Clinical Pathology Physician provider (Pathology) practicing in Olympia Fields, IL, registered in the NPPES registry with NPI 1053304956 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053304956 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark Atkinson Vangorder |
| Credential | MD |
| Sex | Male |
| Practice address | 20201 CRAWFORD AVE, Olympia Fields, IL, 60461 |
| Phone | 7087474000 |
| Fax | 7085033242 |
| Enumeration date | 2005-08-25 |
| Last updated in NPPES | 2024-01-23 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Primary | 036104407 | IL |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Secondary | 01053877A | IN |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00818143 | Other | IN | RAILROAD MEDICARE |
| 200327850 | Medicaid | IN | — |
| 351173213 | Other | IN | HFN |
| 000000648429 | Other | IN | BC/BS |
| 01630255 | Other | IL | BC/BC |
| 220032191 | Other | IN | RR MEDICARE |
| 9512355002 | Other | IN | CIGNA |
| 070058 | Other | IN | CCN |
| 199791 | Other | IN | BC/BS |
| 351173213 | Other | IN | ISPAT/INLAND |
Copy-ready billing details
Provider: Mark Vangorder, MD NPI: 1053304956 Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician) Address: 20201 CRAWFORD AVE, Olympia Fields, IL, 60461
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124021266 | Alverno Lakeside Corporation | Organization | Ambulance | Olympia Fields, IL |
| 1851384754 | Kalisha Hill | Individual | Anatomic Pathology & Clinical Pathology Physician | Olympia Fields, IL |
| 1467445361 | Mark Fritsch | Individual | Anatomic Pathology & Clinical Pathology Physician | Olympia Fields, IL |
| 1023001914 | Consultants in Pathology Sc | Organization | Anatomic Pathology & Clinical Pathology Physician | Olympia Fields, IL |
| 1295728194 | John Kasimos | Individual | Anatomic Pathology & Clinical Pathology Physician | Olympia Fields, IL |
| 1720066244 | Jehanzeb Sheikh | Individual | Hospitalist Physician | Olympia Fields, IL |
| 1477524155 | Quinn Biggs | Individual | Health Service Psychologist | Olympia Fields, IL |
| 1588632913 | David Mehl | Individual | Orthopaedic Surgery Physician | Olympia Fields, IL |
Verify this record
Cross-check NPI 1053304956 against the authoritative CMS record: view Mark Atkinson Vangorder on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Mark Vangorder?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-23.