Individual
DR. JOHN EDWARD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4318 GRAND AVE, WESTERN SPRINGS, IL 60558-1436
(708) 508-2038
(708) 246-4457
Mailing address
4318 GRAND AVE, WESTERN SPRINGS, IL 60558-1436
(708) 508-2038
(708) 246-4457
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
36-040469
IL
207RP1001X
Pulmonary Disease Physician
4301046776
MI
Other
Enumeration date
07/15/2005
Last updated
07/19/2007
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