Marshall Internal Medicine, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036105264 Issued in IL

Legal business name

MARSHALL INTERNAL MEDICINE, S.C.

Practice address

110 N Main St
Morton, IL 61550-2024

Phone

(309) 266-8900

Fax

(309) 263-6788

NPI assigned

Apr 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas J Marshall, MD

Title

President

Phone

(309) 266-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1881715852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502024",
            "telephone_number": "309-266-8900",
            "fax_number": "309-263-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MAIN ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502024",
            "telephone_number": "309-266-8900",
            "fax_number": "309-263-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL INTERNAL MEDICINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-266-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036105264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105264",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Andrew Lovell, DMD, MSD
• Rachel Lowery
• Ronald Luce
• Laura Lee Luginbuhl, SLP
• Heather Maciver Arnold
• Douglas J Marshall, M.D.
• Henry Martin-del-Campo
• Anne Elizabeth Mayo
• Abbi McGinty, LCSW
• Jennifer L McNulty, LPTA

• Internal Medicine Physician in Morton, IL
• Providers in Morton, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.