Individual
ANDREW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 S 25TH AVE, MAYWOOD, IL 60153-2825
(773) 655-5661
Mailing address
1915 S 25TH AVE, MAYWOOD, IL 60153-2825
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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