Mark B Deyoung is a Family Medicine in Elmwood, Illinois. Mark B Deyoung practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark B Deyoung is 1306845045. The last update date is 2022-02-21.
Mark B Deyoung's current location address is 1024 N Magnolia St, Elmwood, Illinois. You can contact this provider via phone number 3097426334 and fax number 3096476880. The mailing address for Mark B Deyoung is 1024 N Magnolia St, Elmwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark B Deyoung |
|---|---|
| Address | 1024 N Magnolia St, Elmwood, Illinois |
| Phone Number | 3097426334 |
| Fax Number | 3096476880 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306845045 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2022-02-21 |
Provider Mailing Address Detail
| Address | 1024 N Magnolia St |
|---|---|
| City | Elmwood |
| State | Illinois (IL) |
| Post Code | 6152996020 |
| Phone Number | 3097426334 |
| Fax Number | 3096476880 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36108454 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 361084541 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark B Deyoung by the Centers for Medicare & Medicaid Services?
The Mark B Deyoung has been assigned the NPI (National Provider Identifier) 1306845045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Mark B Deyoung's physical address?
The Mark B Deyoung is physically located at 1024 N Magnolia St, in the city of Elmwood, IL, with the postal code 6152996020.
What is Mark B Deyoung's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark B Deyoung is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Mark B Deyoung receive its 1306845045 assignment from the Centers for Medicare & Medicaid Services?
The Mark B Deyoung was assigned its 1306845045 by the Centers for Medicare & Medicaid Services on 2005-07-15.
As of what date were the details related to Mark B Deyoung most recently updated or revised?
The information pertaining to Mark B Deyoung, including its address, specialty, and other relevant details, was last updated or revised on 2022-02-21.