Individual
DR. PAUL MICHAEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1263 W LOYOLA AVE, CHICAGO, IL 60626-5101
(773) 274-4600
Mailing address
2303 W MONTROSE AVE, #1, CHICAGO, IL 60618-1618
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008292
IL
Other
Enumeration date
02/05/2012
Last updated
02/05/2012
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