Individual
TONY JOE DE MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E MADISON ST, SPRINGFIELD, IL 62702-5131
(217) 545-8000
(217) 545-7877
Mailing address
PO BOX 19628, SPRINGFIELD, IL 62794-9628
(217) 545-8000
(217) 545-7877
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-098403
IL
207RI0011X
Interventional Cardiology Physician
Primary
036-098403
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098403
—
IL
Enumeration date
10/18/2006
Last updated
05/01/2025
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