Individual
JAMIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
779 W ADAMS ST, CHICAGO, IL 60661-3509
(312) 382-8308
Mailing address
779 W ADAMS ST, CHICAGO, IL 60661-3509
(312) 382-8308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209032513
IL
Other
Enumeration date
07/18/2025
Last updated
08/29/2025
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