Individual
MARTIN J GORBIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 319, CHICAGO, IL 60612-3841
(312) 942-7030
Mailing address
1525 E 55TH ST STE 319, CHICAGO, IL 60615-5512
(312) 942-7030
(773) 388-8936
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036-071955
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071955
—
IL
Enumeration date
05/05/2006
Last updated
01/10/2022
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