Individual
ANISHA S MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5000
Mailing address
71 W 156TH ST, SUIT 110, HARVEY, IL 60426-4260
(708) 915-5671
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036133215
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036133215
IL
Other
Enumeration date
04/13/2009
Last updated
07/31/2015
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