Individual
DR. MARTIN W HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1318 W CATALPA AVE, CHICAGO, IL 60640-1317
(312) 972-6070
Mailing address
1318 W CATALPA AVE, CHICAGO, IL 60640-1317
(312) 972-6070
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
ME56720
FL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
036123771
IL
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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