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
Mailing address1212 Shore Rd, Baltimore, MD 21220-5526

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