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
Phone: (309) 742-2921
Fax: (309) 742-8411
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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