Individual
DR. CHARLES FRANKLIN MARTIN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACEP
Contact information
Practice address
9501 W 144TH PL, SUITE 304, ORLAND PARK, IL 60462-2561
(708) 873-3450
(708) 873-2791
Mailing address
1901 BUTTERFIELD RD, SUITE 220, DOWNERS GROVE, IL 60515-7915
(630) 725-2700
(847) 407-2448
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
036087693
IL
2086S0129X
Vascular Surgery Physician
Primary
036087693
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162230X
BX
IL
Enumeration date
03/24/2006
Last updated
07/08/2010
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