Individual
ANN C MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 MEDICAL CENTER DR, MONTICELLO, IL 61856-2116
(217) 762-2518
(217) 762-5261
Mailing address
P.O. BOX 6002, URBANA, IL 61803-6002
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036077289
IL
Other
Enumeration date
07/21/2006
Last updated
06/11/2012
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