| Mark C. Baylor, M.d. | |
|
120 W Main St Elmwood IL 61529-9608 | |
| (309) 742-2921 | |
| (309) 742-8411 |
| Full Name | Mark C. Baylor, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 120 W Main St, Elmwood, Illinois |
| Authorized Official Name and Position | Mark C. Baylor (OWNER/OPERATOR) |
| Authorized Official Contact | 3097422921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C. Baylor, M.d. 120 W Main St Po Box 680 Elmwood IL 61529-9608 Ph: (309) 742-2921 | Mark C. Baylor, M.d. 120 W Main St Elmwood IL 61529-9608 Ph: (309) 742-2921 |
| NPI Number | 1437337342 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 03/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437337342 | NPI | - | NPPES |
| 7200613 | Other | IL | BCBS OF ILLINOIS |
| CG6833 | Other | IL | RR MEDICARE |
| 198663 | Other | IL | HEALTHLINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036069541 (Illinois) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 036069541 (Illinois) | Secondary |
Graham Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1024 N. Magnolia St., Elmwood, IL 61529 Phone: 309-647-0201 Fax: 309-647-8613 |