Individual
MARTIN KUNTZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., RADIOLOGY, URBANA, IL 61801-2500
(217) 383-3270
(217) 383-4116
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036118212
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180100700
—
MN
01
—
P00412389
MEDICARE RAILROAD PIN
—
Enumeration date
01/23/2006
Last updated
03/30/2022
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