Individual
MR. TAB MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
820 S DAMEN AVE # 116A1, CHICAGO, IL 60612-3728
(312) 569-7958
(312) 569-6144
Mailing address
820 S DAMEN AVE # 116A1, CHICAGO, IL 60612-3728
(312) 569-7958
(312) 569-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-276462
IL
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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