Organization
CHRIS MARTIN II OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS D MARTIN II O.D. (PRESIDENT)
(815) 929-0429
Entity
Organization
Contact information
Practice address
2080 N. STATE RT 50, BOURBONNAIS, IL 60915
(815) 929-0429
(815) 929-0530
Mailing address
2080 N. STATE RT 20, BOURBONNAIS, IL 60915
(815) 929-0429
(815) 929-0530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009427
IL
Other
Enumeration date
08/04/2006
Last updated
08/15/2008
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