Individual
MARK TIMOTHY MONAHAN
Active
Individual
MARK TIMOTHY MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01057437A
IN
207P00000X
Emergency Medicine Physician
Primary
036107925
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000282214
ANTHEM PIN
IN
01
—
036109925
PHYSICIAN LICENSE
IL
05
—
200432460
—
IN
05
—
4782693
—
MI
Enumeration date
07/06/2006
Last updated
08/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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