DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK JOEL ILLUMINATI, MD

Active Sole Proprietor

DR. MARK JOEL ILLUMINATI, MD is a General Practice healthcare provider located in BALTIMORE, Maryland. NPI 1518077320 is currently active in the NPPES registry. Verify at CMS.

General Practice · BALTIMORE, MD

Registration Details

NPI Number
1518077320
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.932254578245 yrs)
Last Updated
Jul 8, 2007
License
D35832 (MD)
Sole Proprietor
Yes

Practice Information

Address
1212 SHORE RD
BALTIMORE, MD, 212205526
Browse MD providers · Browse ZIP 21220
Phone
4107803972
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in BALTIMORE, MD

Name Credential NPI
DR. KHALIDA SAEED MALIK MD 1114925039
DR. HASAN HUSEYIN BABATURK MD 1679572325
DR. MICHAEL Q DURRY M.D. 1255319950
DR. SUSAN RENEE CLANZY M.D. 1568435634
DR. KENNETH RAYMOND LINDYBERG M.D. 1366483919
MR. YUNYONG YUNYONGYING MD 1497789564
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.