Flack, John Mark

Flack, John Mark is an individual health care provider with primary practice located at 751 N Rutledge St Suite 1100, Springfield IL 62702-4968. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hypertension Specialist. Allopathic & Osteopathic Physicians / Hypertension Specialist is his primary health care specialty. Flack, John Mark can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
751 N Rutledge St Suite 1100 Springfield IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-4735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-138254 Illinois
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X 036-138254 Illinois

Profile Details

NPI number 1164450987
LBN Legal business name Flack, John Mark
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Oct 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164450987 NPPES
Illinois MEDICAID 036138254

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