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Individual

HOWARD CLYDE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1060 W ARGYLE ST, ARGYLE MEDICAL CENTER, CHICAGO, IL 60640
(773) 989-7661
(773) 989-7633
Mailing address
1060 W ARGYLE ST, ARGYLE MEDICAL CENTER, CHICAGO, IL 60640
(773) 989-7661
(773) 989-7633

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036076603
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001607687
BCBS
IL
Enumeration date
12/05/2006
Last updated
02/22/2019
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