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Individual

MARTIN JOHN VALENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 362-2900
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036093188
IL
207L00000X
Anesthesiology Physician
36093188
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036093188
IL
05
1356357651
IL
Enumeration date
07/31/2006
Last updated
07/01/2024
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