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Individual

DR. MARTIN J HURD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615-9541
(309) 692-5393
(309) 692-2583
Mailing address
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615-9541
(309) 692-5393
(309) 692-2583

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036076113
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036076113
IL
207Q00000X
Family Medicine Physician
036076113
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036076113
IL
Enumeration date
10/20/2005
Last updated
01/14/2025
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