Individual
TERA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
(708) 386-8472
Mailing address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 386-0845
(708) 386-8472
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.008078
IL
Other
Enumeration date
11/05/2010
Last updated
01/02/2020
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