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

Dr. Mark Edwin Carlson, MD

Individual provider Specialist · NPI 1790741049

Dr. Mark Edwin Carlson, MD is a Specialist in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
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

1848 Daimler Rd
Rockford, IL 61112-1019
Phone: (815) 398-9100
Fax: (815) 986-6770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036-073115 (IL)

Record details

NPI number1790741049
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESSeptember 7, 2010
Mailing address1848 Daimler Rd, Rockford, IL 61112-1019

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