Dr. Ashley Martin
Family Doctor - Geriatric Medicine
150 E Willow Ave Ste 200
Wheaton
, Illinois 60187-5529
Dr. Ashley Martin
Family Doctor - Geriatric Medicine
150 E Willow Ave Ste 200
Wheaton
, Illinois 60187-5529
(630) 718-0900
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Ashley Martin
- 1860 Paysphere Cir
- Chicago, IL
- Zip : 60674-0018
- Fax : (630) 718-0900
- Phone : (630) 469-9200
Second Address
- Dr. Ashley Martin
- 150 E Willow Ave Ste 200
- Wheaton, IL
- Zip : 60187-5529
- Fax : (630) 665-6373
- Phone : (630) 665-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 036112693 | IL |
National Provider Identifier
| NPI | 1063451292 |
|---|---|
| Provider Name | Dr. Ashley Martin |
| First Address | Chicago, IL 60674-0018 |
| Second Address | Wheaton, IL 60187-5529 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 21/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036112693 | LICENSE # (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.