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DR. MARK EDWIN CARLSON MD
NPI 1790741049
Specialist in Rockford, IL

Active since April 25, 2006
1848 DAIMLER RD, ROCKFORD, IL 61112(815) 398-9100(815) 986-6770 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Edwin Carlson Md NPPES

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

DR. MARK EDWIN CARLSON MD (NPI 1790741049) is an individual specialist in Rockford, Illinois, licensed in Illinois (036-073115) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1790741049
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARK EDWIN CARLSONCredential: MD
Location Address1848 DAIMLER RDRockford, IL 61112-1019
Mailing Address1848 Daimler RdRockford, IL 61112-1019 · (815) 398-9100 · Fax (815) 986-6770
Phone(815) 398-9100
Fax(815) 986-6770
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateSeptember 7, 2010
✔ NPI 1790741049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036-073115
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1848 DAIMLER RD, Rockford, IL 61112
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Other Identifiers 4

OtherK52428IL · Medicare Ptan
Medicaid36073065IL
Medicare UPINC41051IL
Medicare NSC6246430001IL

Other Providers at the Same Location NPPES 8

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

PHYSICIAN ASSOCIATES LIMITED
General Practice
1848 DAIMLER RD
ROCKFORD, IL 61112
Winnebago County (815) 229-2500
CARLSON ORTHOPEDIC CLINIC SC
Specialist
1848 DAIMLER RD
ROCKFORD, IL 61112
Winnebago County (815) 398-9100
MRS. CATHERINE L BLAKE APN CNP
Nurse Practitioner (Women's Health)
1848 DAIMLER RD
ROCKFORD, IL 61112
Winnebago County (815) 229-2500
REGIONAL CARDIOLOGY CONSULTANTS LTD
Specialist
1848 DAIMLER RD
ROCKFORD, IL 61112
Winnebago County (815) 229-2500
VANESSA ANN DAL PRA WOCHNER P.T.
Physical Therapist
1848 DAIMLER RD
ROCKFORD, IL 61112
Winnebago County (815) 398-9100
GINA FERNANDO
Nurse Practitioner (Psychiatric/Mental Health)
1848 DAIMLER RD
ROCKFORD, IL 61112
Winnebago County (224) 229-2500
KELLY L MAGOON PA
Physician Assistant
1848 DAIMLER RD
ROCKFORD, IL 61112
Winnebago County (815) 398-9100
MELISSA FAYE TOWNSEND
Nurse Practitioner (Family)
1848 DAIMLER RD
ROCKFORD, IL 61112
Winnebago County (815) 977-4580

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 Carlson's NPI number?

The NPI number for Mark Carlson is 1790741049. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Mark Carlson located?

Mark Carlson practices at 1848 Daimler Rd, Rockford, IL 61112. The listed phone number is (815) 398-9100.

What is Mark Carlson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mark Carlson was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.