Individual
LAUREN M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041366145
IL
363LF0000X
Family Nurse Practitioner
Primary
209017315
IL
Other
Enumeration date
02/22/2018
Last updated
04/20/2021
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