Mark C. Baylor, M.D.
Organization Active NPI Family Medicine Physician · Elmwood, IL
NPI 1437337342 · NPPES record last updated Mar 11, 2014
Key facts
- NPI
- 1437337342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036069541 (IL)
- Legal business name
- MARK C. BAYLOR, M.D.
- Practice address
- 120 W Main St
Elmwood, IL 61529-9608 - Phone
- (309) 742-2921
- Fax
- (309) 742-8411
- NPI assigned
- Feb 1, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark C. Baylor, MD
- Title
- Owner/Operator
- Phone
- (309) 742-2921
Practitioners 8
-
Mark C Baylor, MD
-
Lissa J Diefendorf, APN
-
Pamela J Garner, MS FNP
-
Angela J Gilles, MSFNP
-
Shanna S Krause, ANP-FNP-BC
-
Cristy M Lane, MS FNP
-
Candy Sue Johnson, APN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 036069541 | IL | Yes |
| Geriatric Medicine (Family Medicine) Physician |
207QG0300X | 036069541 | IL |
Addresses
Primary practice location
120 W Main St
Elmwood, IL 61529-9608
Mailing address
120 W Main St
PO Box 680
Elmwood, IL 61529-9608
Phone (309) 742-2921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7200613 | Other | IL | BCBS OF ILLINOIS |
| CG6833 | Other | IL | RR MEDICARE |
| 198663 | Other | IL | HEALTHLINK |
Other providers in Elmwood, IL
- Pamela J Garner
- Graham Hospital Association
- Kristen Jackson
- Cristy M Lane
- Local Health, Inc
- More Than Milk, LLC
- Jacob M Osmulski
- Nathalie Snider
- Danielle Marie Stroemer
- Victoria D Styninger
All providers in Elmwood, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.