Dr Mark S Holder, MD is a
Pediatrics physician based in Princeville, Illinois. Dr Mark S Holder is licensed to practice in Illinois (license number ) and his current practice location is 11607 N Evans Mill Rd, Princeville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 243-5086.
NPI number for Dr Mark S Holder is 1831384494 and his current mailing address is 11607 N Evans Mill Rd, Princeville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831384494.
Physician's Profile
Full Name | Dr Mark S Holder |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 11607 N Evans Mill Rd, Princeville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831384494
- Provider Enumeration Date: 09/07/2007
- Last Update Date: 09/07/2007
Medical Identifiers
Medical identifiers for Dr Mark S Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831384494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark S Holder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mark S Holder, MD 11607 N Evans Mill Rd, Princeville, IL 61559-9179 Ph: (309) 243-5086 | Dr Mark S Holder, MD 11607 N Evans Mill Rd, Princeville, IL 61559-9179 Ph: (309) 243-5086 |
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