# ANTHONY J MARTINO SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NorthPark Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770617862
- **Authorized official:** ANTHONY JOSEPH MARTINO MD (OWNER)
- **Authorized official phone:** (708) 345-8255

## Contact information

- **Practice address:** 2225 W NORTH AVE, SUITE I, MELROSE PARK, IL 60160-1107
- **Practice address phone:** (708) 345-8255
- **Practice address fax:** (708) 345-0534
- **Mailing address:** 2225 W NORTH AVE, SUITE I, MELROSE PARK, IL 60160-1107
- **Mailing address phone:** (708) 345-8255
- **Mailing address fax:** (708) 345-0534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036110934 | IL | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 07/19/2024