Individual
MR. MARK C BAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 W MAIN STREET, ELMWOOD, IL 61529
(309) 742-2921
(309) 742-8411
Mailing address
120 W MAIN STREET, PO BOX 680, ELMWOOD, IL 61529
(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
—
001414
HEALTH ALLIANCE
IL
05
—
036069541
—
IL
01
—
198663
HEALTHLINK
IL
01
—
7200613
BCBS OF ILLINOIS
IL
01
—
80153581
RR MEDICARE
GA
01
—
IL0102
JOHN DEERE
IL
Enumeration date
02/28/2006
Last updated
09/29/2010
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