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MR. MARK RANDALL MARTIN L.C.P.C.
NPI 1467563205
Counselor - Professional in Bloomington, IL

Active since August 31, 2006
1505 EASTLAND DR, EMP II LL 1000, BLOOMINGTON, IL 61701(309) 663-1623 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Randall Martin L.c.p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK RANDALL MARTIN L.C.P.C. (NPI 1467563205) is an individual professional provider in Bloomington, Illinois and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1467563205
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MARK RANDALL MARTINCredential: L.C.P.C.
Location Address1505 EASTLAND DR, EMP II LL 1000Bloomington, IL 61701-3534
Mailing Address45 Brookshire GrnBloomington, IL 61704-6211 · (309) 663-8243
Phone(309) 663-1623
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467563205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1505 EASTLAND DR, Bloomington, IL 61701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VENKATA RANGANADH DODDA MD
Internal Medicine (Critical Care Medicine)
1505 EASTLAND DR, SUITE 320
BLOOMINGTON, IL 61701
McLean County (309) 661-2368
DR. EDWARD LESLIE COLLOTON MD
Ophthalmology
1505 EASTLAND DR, STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 662-7700
MS. MELANIE SCHALL
Pharmacist
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 664-0505
NORD OBSTETRICS AND GYNECOLOGY, SC
Obstetrics & Gynecology
1505 EASTLAND DR, #230
BLOOMINGTON, IL 61701
McLean County (309) 663-8888
KENNETH H. INOUE
Internal Medicine
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 661-2368
MCLEAN COUNTY ANESTHESIOLOGY, LTD.
Anesthesiology (Pain Medicine)
1505 EASTLAND DR, SUITE LL 1400
BLOOMINGTON, IL 61701
McLean County (309) 663-4700
CAROLINE J TURNER APN
Nurse Practitioner
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 665-4040
DANIELLE BEER
Physician Assistant
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Martin's NPI number?

The NPI number for Mark Martin is 1467563205. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Martin located?

Mark Martin practices at 1505 Eastland Dr Emp II Ll 1000, Bloomington, IL 61701. The listed phone number is (309) 663-1623.

What is Mark Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mark Martin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.