Baylor, Mark C

Baylor, Mark C is an sole proprietor health care provider with primary practice located at 120 W Main Street , Elmwood IL 61529. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Baylor, Mark C can be contacted via phone (309) 742-2921.

Contact Information

Primary practice address
120 W Main Street Elmwood IL 61529
Fax: (309) 742-8411
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036069541 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036069541 Illinois

Profile Details

NPI number 1740256700
LBN Legal business name Baylor, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Sep 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740256700 NPPES
Illinois MEDICAID 036069541
Illinois Other IL0102
Illinois Other 7200613
Illinois Other 001414
Illinois Other 198663
Illinois Other 80153581

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