Michael Martin
Internist Geriatric Medicine
3319 N Elston Ave
Chicago
, Illinois 60618
Michael Martin
Internist Geriatric Medicine
3319 N Elston Ave
Chicago
, Illinois 60618
(847) 674-0892
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Michael Martin
- 7301n Lincoln Ave 183
- Lincolnwood, IL
- Zip : 60712-1736
- Fax : (847) 674-0892
- Phone : (224) 766-7669
Second Address
- Michael Martin
- 3319 N Elston Ave
- Chicago, IL
- Zip : 60618
- Fax : (773) 583-4295
- Phone : (773) 751-7200
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036057445 | IL |
| N | 111NI0900X | Internist | 036057445 | IL |
| Y | 207RG0300X | Geriatric Medicine | 036057445 | IL |
National Provider Identifier
| NPI | 1033300504 |
|---|---|
| Provider Name | Michael Martin |
| First Address | Lincolnwood, IL 60712-1736 |
| Second Address | Chicago, IL 60618 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2007 |
| Last Update Date | 29/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036057445 | (05) | IL |
| D14425 | (02) | 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.