Individual
DR. MUAWIA MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 SILVER CROSS BLVD, PAVILION A SUITE 240, NEW LENOX, IL 60451-9524
(815) 740-1900
(815) 725-2413
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036088791
IL
207RI0011X
Interventional Cardiology Physician
Primary
036088791
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039088791
—
IL
Enumeration date
05/10/2006
Last updated
09/05/2023
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