Individual
MICHAEL SCOTT MARKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W MORTON AVE, JACKSONVILLE, IL 62650-3152
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036114677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114677
—
IL
Enumeration date
04/26/2006
Last updated
12/09/2015
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