Dr Mark Joel Illuminati, MD - General Practice in Baltimore, MD

Dr Mark Joel Illuminati, MD is a General Practice physician based in Baltimore, Maryland. Dr Mark Joel Illuminati is licensed to practice in Maryland (license number D35832) and his current practice location is 1212 Shore Rd, Baltimore, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 780-3972.

NPI number for Dr Mark Joel Illuminati is 1518077320 and his current mailing address is 1212 Shore Rd, Baltimore, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518077320.

Contact Information

Dr Mark Joel Illuminati, MD
1212 Shore Rd,
Baltimore, MD 21220-5526
(410) 780-3972
Not Available



Physician's Profile

Full NameDr Mark Joel Illuminati
GenderMale
SpecialityGeneral Practice
Location1212 Shore Rd, Baltimore, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518077320
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Mark Joel Illuminati such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518077320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice D35832 (Maryland)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 Joel Illuminati 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 AddressPractice Location Address
Dr Mark Joel Illuminati, MD
1212 Shore Rd,
Baltimore, MD 21220-5526

Ph: (410) 780-3972
Dr Mark Joel Illuminati, MD
1212 Shore Rd,
Baltimore, MD 21220-5526

Ph: (410) 780-3972

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General Practice Doctors in Baltimore, MD

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