Individual
MR. CHARLES PATRICK MARTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
1755 S WOLF RD, DES PLAINES, IL 60018-1923
(847) 803-5901
(847) 803-5991
Mailing address
2412 VENTURA DR, PLAINFIELD, IL 60586-8442
(815) 609-2504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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