Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Joel Illuminati, MD

Individual provider General Practice Physician · NPI 1518077320

Dr. Mark Joel Illuminati, MD is a General Practice Physician in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1212 Shore Rd
Baltimore, MD 21220-5526
Phone: (410) 780-3972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence D35832 (MD)

Record details

NPI number1518077320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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