Individual
MOLLY A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, SUITE 2E, CHICAGO, IL 60612-4795
(312) 996-7414
(312) 413-8778
Mailing address
840 S WOOD ST, MC 856, CHICAGO, IL 60612-4325
(312) 996-2363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-106034
IL
Other
Enumeration date
04/23/2007
Last updated
10/17/2014
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