Individual
MARTIN B NWIADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6968 N WOLCOTT AVE APT 2, CHICAGO, IL 60626-7028
(773) 943-0058
Mailing address
6968 N WOLCOTT AVE APT 2, CHICAGO, IL 60626-7028
(773) 943-0058
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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