Mark Edwin Carlson, MD

Specialist · Rockford, IL

Individual Active NPI

NPI number 1790741049

Practice location

1848 Daimler Rd
Rockford, IL 61112-1019
Phone
(815) 398-9100
Fax
(815) 986-6770

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NPI record

NPI
1790741049
Entity type
Individual (Type 1)
Enumeration date
April 25, 2006
Last updated
September 7, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 036-073115 IL

About Dr. Carlson

Mark Edwin Carlson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1848 Daimler Rd, Rockford, IL 61112-1019. The NPI number 1790741049 was assigned on April 25, 2006 and the record was last updated on September 7, 2010.

Dr. Carlson lists a license in the registry: #036-073115 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Edwin Carlson, MD?

The NPI number is 1790741049.

What is the phone number of Dr. Carlson?

The phone number listed for the practice location is (815) 398-9100.

Where is Dr. Carlson located?

1848 Daimler Rd, Rockford, IL 61112-1019.

What is the taxonomy code for Dr. Carlson?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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