Individual
DR. MARTHA L. TWADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACP, FAAHPM
Contact information
Practice address
2050 CLAIRE COURT, GLENVIEW, IL 60025-7635
(847) 467-7423
(847) 556-1505
Mailing address
25400 N SAINT MARYS RD, LIBERTYVILLE, IL 60048-9460
(847) 556-1697
(847) 556-1505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-074835
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036-074835
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-074835
—
IL
Enumeration date
05/11/2006
Last updated
07/23/2012
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