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Individual

DR. ANTHONY JAMES MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1501 S LAKE ST, MUNDELEIN, IL 60060-4258
(847) 566-0991
Mailing address
1501 S LAKE ST, MUNDELEIN, IL 60060-4258

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.295968
IL

Other

Enumeration date
09/05/2012
Last updated
06/30/2020
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