Organization
MARK C. BAYLOR, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C. BAYLOR MD (OWNER/OPERATOR)
(309) 742-2921
Entity
Organization
Contact information
Practice address
120 W MAIN ST, ELMWOOD, IL 61529-9608
(309) 742-2921
(309) 742-8411
Mailing address
120 W MAIN ST, PO BOX 680, ELMWOOD, IL 61529-9608
(309) 742-2921
(309) 742-8411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036069541
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036069541
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198663
HEALTHLINK
IL
01
—
7200613
BCBS OF ILLINOIS
IL
01
—
CG6833
RR MEDICARE
IL
Enumeration date
02/01/2008
Last updated
03/11/2014
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