Individual
DR. GARY MARSHALL MART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1046 MONROE AVE, RIVER FOREST, IL 60305-1426
(312) 509-3910
(312) 277-6565
Mailing address
7061 NORTH AVE # 506, OAK PARK, IL 60302-1015
(312) 509-3910
(844) 562-0636
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036101590
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632730
BLUE CROSS BLUE SHIELD
IL
05
—
036101590
—
IL
Enumeration date
11/07/2006
Last updated
06/25/2025
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