MICHAEL MARCK


Address: 9951 Rock Cut Xing, Loves Park, IL 61111-1999
Phone: 8156398500

MICHAEL MARCK (NPI# 1720018161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720018161
Entity Type Individual
Full Name MICHAEL MARCK
Credential M.D.
Practice Address 9951 Rock Cut Xing
Loves Park
IL 61111-1999
Practice Telephone 8156398500
Practice Fax Number 8156398501
Mailing Telephone 8156398500
Mailing Fax Number 8156398501
Enumeration Date 2006-07-03
Last Update Date 2014-08-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
036066998 IL Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 036066998 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 36066998 05

Office Location

Street Address 9951 ROCK CUT XING
City LOVES PARK
State IL
Zip Code 61111-1999

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568452555 Cynthia A Mcgrath Nurse Practitioner 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2005-10-21
1144704172 Jessica Knoll Nurse Practitioner 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2018-09-15
1861979700 Amy R Henderson Physician Assistant 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2018-07-24
1508368309 Stephanie D Yeager Nurse Practitioner 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2018-03-07
1093233173 Brandon N. Nierhoff Nurse Practitioner 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2017-09-08
1518407204 Thomas Magerl Nurse Practitioner 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2017-03-01
1396283685 Tracy Ohmstede Physical Therapist 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2017-02-07
1477006294 Janelle Kloch Nurse Practitioner 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2016-07-28
1184096760 Kirsten Ahlberg Social Worker 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2015-10-22
1427426931 Noah James Simon Family Medicine 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2015-09-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316562788 Salli Jacobsen Technician 6699 Torch Lite Tr, Loves Park, IL 61111 2020-06-11
1003476425 Costco Wholesale Corporation Pharmacy 5000 Stadium Drive, Loves Park, IL 61111 2019-06-18
1427541077 Ronit Golan Physical Therapist 4401 Peak Dr Ste 1, Loves Park, IL 61111 2018-06-08
1598049025 Sara Debelak Developmental Therapist 7225 Golden Eagle Drive, Loves Park, IL 61111 2011-10-03
1083906382 Gagandeep Goyal Anesthesiology 5504 N 2nd St, Loves Park, IL 61111 2011-05-05
1124354261 Asap Transport, LLC Taxi 7117 Clinton Rd, Suite 4, Loves Park, IL 61111 2009-10-25
1235212275 Roger H Hill Optometrist 4301 N Mulford Rd, Loves Park, IL 61111 2006-10-23
1831104546 Pointcore, Inc. Pharmacy 9951 Rock Cut Crossing, Loves Park, IL 61111 2006-07-30
1629099627 Lisa A. Breisch Counselor Harmony Center for Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, IL 61111 2006-07-22
1386670529 Joseph L Digirolamo Chiropractor 116 East Riverside Blvd, Loves Park, IL 61111 2006-06-22
Find all providers in zip 61111

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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 is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427426931 Noah James Simon Family Medicine 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2015-09-14
1801200456 Yaqoob M Syed Family Medicine 7702 N Alpine Rd, Loves Park, IL 61111-3107 2014-06-11
1689992885 Ruchi Parikh Family Medicine 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2010-05-12
1710142740 Monica Ann Martens Family Medicine 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2008-07-18
1033373907 Michael Demetrios Kouimelis Family Medicine 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2008-07-10
1144362773 Muhammad A Habib Family Medicine 9951 Rock Cut Xing, Suite 280, Loves Park, IL 61111-1999 2007-02-12
1770507295 Medical Resource Center Ltd Family Medicine 6550 E Riverside Blvd, Loves Park, IL 61111-4424 2006-07-27
1952335333 John Herrmann Mueller Family Medicine 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2006-07-10
1689602211 Jeffry Mark Tillery Family Medicine 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2006-06-30
1437119450 Mohammed Kaleemuddin Family Medicine 9951 Rock Cut Xing, Loves Park, IL 61111-1999 2006-03-24
Find all providers in LOVES PARK

Competitor

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City LOVES PARK
Zip Code 61111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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