Individual
CHRISTOPHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SAINT FRANCIS MEDICAL CENTER, 530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-3292
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7951
(309) 655-7953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07215036
BCBS
IL
01
—
809840
MEDICARE GROUP
IL
01
—
833230
MEDICARE GROUP
IL
01
—
CA4079
RR MEDICARE GROUP
IL
Enumeration date
02/21/2006
Last updated
03/13/2008
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