Individual
DR. JOHNNATAN MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-1005
(309) 655-2553
(309) 655-2602
Mailing address
130 NW 199TH ST, MIAMI, FL 33169-2919
(704) 302-4621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01092367A
IN
207P00000X
Emergency Medicine Physician
Primary
036165712
IL
207P00000X
Emergency Medicine Physician
ME156427
FL
207P00000X
Emergency Medicine Physician
U3937
TX
Other
Enumeration date
03/26/2020
Last updated
06/16/2025
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